Active NPI
Janice Fern Sproul, CBT,CBS,
- Specialist
- Sutherlin, OR
National Provider Identifier
1831422120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4013 BF | Other | NC | BIOFEEDBACK 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.