Amy Patricia Sprague, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60043806 Issued in WA

Practice address

823 E Lincoln Ave
Sunnyside, WA 98944-2347

Phone

(509) 839-5555

Fax

(509) 839-9875

NPI assigned

Jul 12, 2013

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

Other names 1

• Miss Amy Patricia Bourgeois Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sunnyside Chiropractic Centre P S

  • Chiropractor
  • Sunnyside, WA
  • NPI 1982866604
  NPD (past)
• Yakima Chiropractic Centres, Inc. P.SD.

  • Chiropractor
  • Yakima, WA
  • NPI 1144436148
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1427499987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442347",
            "telephone_number": "509-839-5555",
            "fax_number": "509-839-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442347",
            "telephone_number": "509-839-5555",
            "fax_number": "509-839-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "AMY",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60043806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BOURGEOIS",
            "middle_name": "PATRICIA",
            "prefix": "MISS",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sleep Medical Center of Tri-Cities, LLC (Silent Sleep Centers)
• Carolyn Smith
• Dana Lyn Smith, MSW, MHP,LICSW, CMHS
• Matthew Thomas Smith, RPH
• Spavinawdental
• Marie Teresa Stanford, MD
• James E Stevens, DR MEDICAL DENTISTRY
• Kristian L Stewart, CDPT
• Carla Sue Stoops, COTA/L
• Demetrius Straws

• Massage Therapist in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.