Individual provider Active NPI

Janice Fern Sproul, CBT,CBS,

  • Specialist
  • Sutherlin, OR
National Provider Identifier
1831422120
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
3105 Nonpareil Rd
Sutherlin, OR 97479-9759
Phone
(541) 430-1026
Fax
(541) 459-9614
NPI assigned
Sep 17, 2009
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

3105 Nonpareil Rd
Sutherlin, OR 97479-9759

Mailing address

3105 Nonpareil Rd
Sutherlin, OR 97479-9759
Phone (541) 430-1026

Other identifiers 1

IdentifierTypeStateIssuer
4013 BFOtherNCBIOFEEDBACK SPECIALIST

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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1831422120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 NONPAREIL RD",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799759",
            "telephone_number": "541-430-1026",
            "fax_number": "541-459-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 NONPAREIL RD",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799759",
            "telephone_number": "541-430-1026",
            "fax_number": "541-459-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUL",
        "first_name": "JANICE",
        "middle_name": "FERN",
        "name_prefix": "Mrs.",
        "credential": "CBT,CBS,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BIOFEEDBACK SPECIALIST",
            "identifier": "4013 BF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutherlin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.