Active NPI
Kristin Ashley Spruill, LPA, BCABA
- Behavior Analyst
- Greenville, NC
National Provider Identifier
1942533211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0-08-2582
- Practice address
- 3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640 - Phone
- (252) 751-0518
- Fax
- (252) 565-4505
- NPI assigned
- Sep 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3717 | NC | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 3717 | NC | |
| Military Health Care Provider | 171000000X | 0-08-2582 | NC | |
| Behavior Analyst | 103K00000X | 0-08-2582 | NC | Primary |
Addresses
Primary practice location
3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640
Mailing address
3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640
Phone (252) 751-0518
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3717 | NC | MD | Mental Health Counselor |
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": "1594944000000",
"number": "1942533211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 DUNHAGAN RD STE 102",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278586640",
"telephone_number": "252-751-0518",
"fax_number": "252-565-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 DUNHAGAN RD STE 102",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278586640",
"telephone_number": "252-751-0518",
"fax_number": "252-565-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRUILL",
"first_name": "KRISTIN",
"middle_name": "ASHLEY",
"name_prefix": "Miss",
"credential": "LPA, BCABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-17",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3717",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NC",
"license": "3717",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NC",
"license": "0-08-2582",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "0-08-2582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.