NPIMap

Organization Active NPI

Sprouts Child Development Initiative, Inc.

  • Prevention Professional
  • Tulsa, OK
National Provider Identifier
1689107070
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
SPROUTS CHILD DEVELOPMENT INITIATIVE, INC.
Practice address
5840 S Memorial Dr Ste 111
Tulsa, OK 74145-9006
Phone
(918) 699-4250
Fax
(918) 831-7290
NPI assigned
Apr 4, 2017
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Mrs. Lesley Baker Gudgel, MHR
Title
Executive Director
Phone
(918) 289-9387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X OK Primary

Addresses

Primary practice location

5840 S Memorial Dr Ste 111
Tulsa, OK 74145-9006

Mailing address

5840 S Memorial Dr Ste 111
Tulsa, OK 74145-9006
Phone (918) 699-4250

Other names 1

  • Sprouts Child Development Other name

National Provider Directory

National Provider Directory

Locations

5840 S Memorial Dr
Ste 111
Tulsa, OK 74145
Phone (918) 488-8002

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1689107070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 S MEMORIAL DR STE 111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459006",
            "telephone_number": "918-699-4250",
            "fax_number": "918-831-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 S MEMORIAL DR STE 111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459006",
            "telephone_number": "918-699-4250",
            "fax_number": "918-831-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTS CHILD DEVELOPMENT INITIATIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "GUDGEL",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "BAKER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-289-9387",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHR"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprouts Child Development",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.