Individual provider Active NPI

Toya Tmour Sproul, PBT

  • Phlebotomy Technician
  • Jacksonville, FL
National Provider Identifier
1245525906
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
200 Riverside Ave
Unit 1010
Jacksonville, FL 32202-4999
Phone
(904) 335-8331
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X Primary

Addresses

Primary practice location

200 Riverside Ave
Unit 1010
Jacksonville, FL 32202-4999

Mailing address

200 Riverside Ave
Unit 1010
Jacksonville, FL 32202-4999
Phone (904) 335-8331

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 192.168.84.10 Direct

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lab Grabbers, LLC Phlebotomy CurrentSince Feb 16, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1245525906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE AVE",
            "address_2": "UNIT 1010",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024999",
            "telephone_number": "904-335-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE AVE",
            "address_2": "UNIT 1010",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024999",
            "telephone_number": "904-335-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUL",
        "first_name": "TOYA",
        "middle_name": "TMOUR",
        "name_prefix": "Mrs.",
        "credential": "PBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "192.168.84.10",
            "affiliation": "N",
            "endpointDescription": "Server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "841 Prudential Dr Ste 1219",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322078329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.