Individual provider Active NPI

Rachel Grimes Sprague, MD

  • Reproductive Endocrinology Physician
  • Wesley Chapel, FL
National Provider Identifier
1871903096
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
ME137234 Issued in FL
Practice address
2590 Healing Way Ste 160
Wesley Chapel, FL 33543-5497
Phone
(813) 321-0146
Fax
(855) 867-6703
NPI assigned
Apr 28, 2014
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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
Reproductive Endocrinology Physician 207VE0102X ME137234 FL Primary

Addresses

Primary practice location

2590 Healing Way Ste 160
Wesley Chapel, FL 33543-5497

Mailing address

9600 Blackwell Rd Ste 500
Rockville, MD 20850-3783

Other practice location 1

5016 W Cypress St Ste 302
Tampa, FL 33607-3804
Phone (813) 906-2285

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME137234FLMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SGF Tampa Bay LLC Reproductive Endocrinology PastSince Oct 24, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1871903096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL RD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503783",
            "fax_number": "844-487-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY STE 160",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435497",
            "telephone_number": "813-321-0146",
            "fax_number": "855-867-6703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5016 W Cypress St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336073804",
            "country_code": "US",
            "telephone_number": "813-906-2285",
            "fax_number": "855-867-6703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "RACHEL",
        "middle_name": "GRIMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME137234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.