Individual provider Active NPI

Barbara Ruth Sprung, NPP RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington, NY
National Provider Identifier
1366507345
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400195 Issued in NY
Practice address
5975 Redfield Dr
Farmington, NY 14425-8805
Phone
(315) 538-8047
Fax
(315) 538-8047
NPI assigned
Dec 27, 2006
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400195 NY Primary

Addresses

Primary practice location

5975 Redfield Dr
Farmington, NY 14425-8805

Mailing address

5975 Redfield Dr
Farmington, NY 14425-8805
Phone (516) 361-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 15, 2025 through Apr 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F400195NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1366507345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 REDFIELD DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144258805",
            "telephone_number": "516-361-3313",
            "fax_number": "315-538-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 REDFIELD DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144258805",
            "telephone_number": "315-538-8047",
            "fax_number": "315-538-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUNG",
        "first_name": "BARBARA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "NPP  RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NY

Sources for this page

Verify at the official NPI Registry.