Organization Active NPI

Blue Sprig Pediatrics

  • Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1285311266
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BLUE SPRIG PEDIATRICS
Practice address
1737 E Cortez Dr
Gilbert, AZ 85234-4962
Phone
(480) 432-0093
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Katelyn Z SimsNPI 1770357550
Title
Behavioral Technician
Phone
(480) 432-0093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1737 E Cortez Dr
Gilbert, AZ 85234-4962

Mailing address

1737 E Cortez Dr
Gilbert, AZ 85234-4962
Phone (480) 432-0093

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1285311266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 E CORTEZ DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344962",
            "telephone_number": "480-432-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 E CORTEZ DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344962",
            "telephone_number": "480-432-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRIG PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "BEHAVIORAL TECHNICIAN",
        "authorized_official_telephone_number": "480-432-0093"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.