Renai L Sparrow

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

1028 SW 126TH St
Newberry, FL 32669-3054

Phone

(352) 317-6513

Fax

(352) 333-1138

NPI assigned

Feb 15, 2011

Last updated

Feb 15, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1558668202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 SW 75TH ST # 157",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 SW 126TH ST",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693054",
            "telephone_number": "352-317-6513",
            "fax_number": "352-333-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "RENAI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shands Teaching Hospital and Clinics Inc (UF Health Rehab Center for Kids Jonesville)
• Elizabeth Skelly
• Benjamin Smith
• Kimberly Ann Smith
• Southlands Enterprises Inc (West End Pharmacy)
• Speech4Kids of Gainesville LLC
• James Steiner, RN
• Suzanne Stewart Wood, LMT
• Brent T Stewart, M.D., M.B.A.
• Linda Stiles, M.A., CCC-SLP

• Intellectual & Developmental Disabilities Psychologist in Newberry, FL
• Providers in Newberry, FL by specialty
• Intellectual & Developmental Disabilities Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.