Lydia Sprouse, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0997076-NP Issued in CO

Practice address

850 West Beaver Creek Blvd
Avon, CO 81620-9201

Phone

(970) 945-2840

Fax

(970) 945-2893

NPI assigned

Dec 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lydia.sprouse.p1@direct.mfhc.nextgenshare.com

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

• Mountain Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Glenwood Springs, CO
  • NPI 1477552388
  Medicare reassignment NPD
• Peaks Medical PC

  • Primary Care Clinic/Center
  • Dillon, CO
  • NPI 1528797065
  Medicare reassignment NPD
• Peaks Urgent Care PC

  • Urgent Care Clinic/Center
  • Dillon, CO
  • NPI 1023747649
  Medicare reassignment NPD
• Mountain Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Gypsum, CO
  • NPI 1710661194
  NPD

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1891453395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PRICE LN # X1255",
            "city": "GYPSUM",
            "state": "CO",
            "postal_code": "816375328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WEST BEAVER CREEK BLVD",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816209201",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Price Ln # X1255",
            "address_purpose": "LOCATION",
            "city": "Gypsum",
            "state": "CO",
            "postal_code": "816375328",
            "country_code": "US",
            "telephone_number": "970-471-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "LYDIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997076-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared R Seibert, M.D.
• Seth Jacob Selby, PA-C
• Skdental,PLLC
• Carole Leigh Sparks, RPH
• Speech-Language Pathology Access, Inc.
• Starting Hearts Inc
• Audrey Ste-Marie, L.AC, DIPL OM, M.S.
• Laurel Reinhart Stearns, D.O.
• Mark Randolph Stephens, MD
• Ronald Casey Strahan, MD

• Family Nurse Practitioner in Avon, CO
• Providers in Avon, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.