Active NPI
Katie Sarah Sprouls
- School Psychologist
- Surprise, AZ
National Provider Identifier
1619022191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 15034 N Parkview PL
Surprise, AZ 85379-6076 - Phone
- (623) 876-7812
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Primary |
Addresses
Primary practice location
15034 N Parkview PL
Surprise, AZ 85379-6076
Mailing address
2122 S 114TH LN
Avondale, AZ 85323-9184
Phone (623) 478-1863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710815 | Other | AZ | AHCCCS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619022191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 S 114TH LN",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853239184",
"telephone_number": "623-478-1863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15034 N PARKVIEW PL",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853796076",
"telephone_number": "623-876-7812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPROULS",
"first_name": "KATIE",
"middle_name": "SARAH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "710815",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.