Organization Active NPI

Bluesprig Pediatrics, Inc

  • Behavior Technician
  • Lakewood Ranch, FL
National Provider Identifier
1669329728
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
BLUESPRIG PEDIATRICS, INC
Practice address
6976 Professional Pkwy
Lakewood Ranch, FL 34240-8414
Phone
(941) 308-4641
NPI assigned
Mar 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Markalise Mitchell
Title
Senior Credentialing Specialist
Phone
(281) 826-3382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

6976 Professional Pkwy
Lakewood Ranch, FL 34240-8414

Mailing address

6976 Professional Pkwy
Lakewood Ranch, FL 34240-8414
Phone (941) 308-4641

National Provider Directory

National Provider Directory

Locations

6976 Professional Pkwy
Lakewood Ranch, FL 34240
Phone (941) 308-4641

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1669329728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6976 PROFESSIONAL PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408414",
            "telephone_number": "941-308-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6976 PROFESSIONAL PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408414",
            "telephone_number": "941-308-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESPRIG PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARKALISE",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "281-826-3382"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.