Marilyn T Sprenkle, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME87333 Issued in FL

Practice address

36468 Emerald Coast Parkway
Unit 2101
Destin, FL 32541

Phone

(850) 659-6556

Fax

(850) 249-1308

NPI assigned

Dec 14, 2005

Last updated

Jan 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14223/brand/1/csg/1/fhir/r4
• Direct secure messaging: marilyn.sprenkle.1@14223.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Pediatric Group

  • Pediatrics Physician
  • Destin, FL
  • NPI 1417304643
  NPD (past) Authorized official
• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)
• University Pediatrics

  • Pediatrics Physician
  • Columbia, SC
  • NPI 1083657233
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1093790875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-863-8100",
            "fax_number": "850-863-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36468 EMERALD COAST PARKWAY",
            "address_2": "UNIT 2101",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-659-6556",
            "fax_number": "850-249-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRENKLE",
        "first_name": "MARILYN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME87333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266800900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Sparks, LCSW
• Lowery H Sparks, O.D.
• Diane D Speedling, M.D.
• Spinal Connections Wellness Center LLC
• Spine Institute on the Emerald Coast (Coastal Neurosurgery & Spine)
• Heather Stahl, PTA
• Rebecca Lynn Stark, RPH
• Jamey Morgan Starling, L.M.T.
• Samuel Statler, PHARMD
• Sterling Emergency Services of Florida, PA

• Pediatrics Physician in Destin, FL
• Providers in Destin, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.