Active NPI
Kenya Sprouse, CRT
- Certified Respiratory Therapist
- Memphis, TN
National Provider Identifier
1578839007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 4325
- Practice address
- 4850 Sturbridge LN
Memphis, TN 38141-8550 - Phone
- (901) 283-7899
- NPI assigned
- Mar 29, 2012
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 4325 | TN | Primary |
Addresses
Primary practice location
4850 Sturbridge LN
Memphis, TN 38141-8550
Mailing address
4850 Sturbridge LN
Memphis, TN 38141-8550
Phone (901) 283-7899
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 |
|---|---|---|---|
| 4325 | TN | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1578839007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 STURBRIDGE LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381418550",
"telephone_number": "901-283-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 STURBRIDGE LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381418550",
"telephone_number": "901-283-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPROUSE",
"first_name": "KENYA",
"credential": "CRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "TN",
"license": "4325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.