Individual provider Active NPI

Marie Sproat, IBCLC, RLC

  • Lactation Consultant (Non-RN)
  • Jacksonville, NC
National Provider Identifier
1093172017
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-82781
Practice address
921B Lejeune Blvd
Jacksonville, NC 28540-5916
Phone
(910) 463-2662
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-82781 Primary

Addresses

Primary practice location

921B Lejeune Blvd
Jacksonville, NC 28540-5916

Mailing address

2726 Winston Rd
Camp Lejeune, NC 28547-1313
Phone (202) 340-9859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1093172017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 WINSTON RD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285471313",
            "telephone_number": "202-340-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921B LEJEUNE BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405916",
            "telephone_number": "910-463-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROAT",
        "first_name": "MARIE",
        "credential": "IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-82781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.