Active NPI
Linda L. Sprague, CCC-A
- Audiologist
- Redford, MI
National Provider Identifier
1497923403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LS000316
- Practice address
- 20416 Glenmore
Redford, MI 48240-1040 - Phone
- (313) 255-1465
- Fax
- (313) 966-4678
- NPI assigned
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LS000316 | MI | Primary |
Addresses
Primary practice location
20416 Glenmore
Redford, MI 48240-1040
Mailing address
20416 Glenmore
Redford, MI 48240-1040
Phone (313) 255-1465
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LS000316 | MI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1497923403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20416 GLENMORE",
"city": "REDFORD",
"state": "MI",
"postal_code": "482401040",
"telephone_number": "313-255-1465",
"fax_number": "313-966-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20416 GLENMORE",
"city": "REDFORD",
"state": "MI",
"postal_code": "482401040",
"telephone_number": "313-255-1465",
"fax_number": "313-966-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGUE",
"first_name": "LINDA",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "LS000316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.