Sparrow Pediatrics, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

056005705 Issued in IL

Legal business name

SPARROW PEDIATRICS, INC.

Practice address

2437 E Keys Ave
Springfield, IL 62702-3207

Phone

(217) 299-0952

Fax

(217) 679-2497

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Robin Leeann Moore, MS, OTRLNPI 1144476631

Title

President

Phone

(217) 299-0952

Specialties & licenses 1

Addresses

Practitioners 1

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

• Robin L Moore, MS, OTR/L

  • Occupational Therapist
  • Rochester, IL
  • NPI 1144476631
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1437225539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 E KEYS AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023207",
            "telephone_number": "217-299-0952",
            "fax_number": "217-679-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 E KEYS AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023207",
            "telephone_number": "217-299-0952",
            "fax_number": "217-679-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-299-0952",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTRL"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "056005705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Illinois University School of Medicine
• Southern View Dental Group
• Danielle Spain, APRN, CNP
• Ann M Sparks, APN, FNP, NP - C
• Sparrow Counseling PLLC
• Kathy Bussa Spath, MS MASTERS OF SCIENC
• Speaking Minds Psychotherapy PLLC
• Nichol Speciale, LCSW
• Douglas P. Speck, D.C.
• Lynn M. Speck, M.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Springfield, IL
• Providers in Springfield, IL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.