Individual provider Active NPI

Sarah Sponaugle, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1750836763
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 12050 Issued in FL
Practice address
1208 E Kennedy Blvd
Unit 1127
Tampa, FL 33602-3504
Phone
(727) 366-4219
NPI assigned
Aug 19, 2016
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Chiropractor 111N00000X CH 12050 FL Primary

Addresses

Primary practice location

1208 E Kennedy Blvd
Unit 1127
Tampa, FL 33602-3504

Mailing address

1208 E Kennedy Blvd
Unit 1127
Tampa, FL 33602-3504
Phone (727) 366-4219

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

LicenseStateTypeSpecialty
CH 12050FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1750836763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E KENNEDY BLVD",
            "address_2": "UNIT 1127",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023504",
            "telephone_number": "727-366-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E KENNEDY BLVD",
            "address_2": "UNIT 1127",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023504",
            "telephone_number": "727-366-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONAUGLE",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 12050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.