Kelsey Ann Sprague, EMT BASIC 426241

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

426241 Issued in NY

Practice address

481 William L Gaiter Pkwy
Buffalo, NY 14215-2731

Phone

(716) 882-8400

NPI assigned

Jul 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1225552789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 LUDINGTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142061446",
            "telephone_number": "716-997-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 WILLIAM L GAITER PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152731",
            "telephone_number": "716-882-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "EMT BASIC 426241",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NY",
            "license": "426241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Sporski, FNP-BC, RNFA
• Sarah Peck Sporski, PA-C
• Sportsfocus Physical Therapy, PC
• Molly Ann Sprada
• Katherine Anne Sprague
• Delaney Sprecker
• Diane Rita Spring-Whiddon, MS CCC-SLP
• James Springate, MD
• Laura M Springate, PA
• Christopher R Springer, MD

• Basic Emergency Medical Technician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Basic Emergency Medical Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.