Healthy Sprouts and House Calls, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HEALTHY SPROUTS AND HOUSE CALLS, PLLC

Practice address

3966 Bloomingdale Rd
Kingsport, TN 37660-7004

Phone

(423) 863-5173

Fax

(423) 765-0616

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Susan W Jeansonne, MDNPI 1114913365

Title

Ceo/Cmo

Phone

(423) 863-5173

Specialties & licenses 1

Addresses

Other names 1

• Healthy Sprouts Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Watts Jeansonne, MD

  • Pediatrics Physician
  • Kingsport, TN
  • NPI 1114913365
  NPD Authorized official
• Jordan Taylor Havyar, PA

  • Physician Assistant
  • Kingsport, TN
  • NPI 1982228847
  NPD

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1942907928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3966 BLOOMINGDALE RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607004",
            "telephone_number": "423-863-5173",
            "fax_number": "423-765-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3966 BLOOMINGDALE RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607004",
            "telephone_number": "423-863-5173",
            "fax_number": "423-765-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SPROUTS AND HOUSE CALLS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "JEANSONNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "423-863-5173",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Sprouts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James R Hawkins, MSW CMSW
• Carol Sue Haworth, APN
• Heather-Marie Douw Hawthorne, BS
• Rosa Leighanne Hayes, FNP
• Kristel Dawne Headley, L.P.C.
• Donna Hearl
• Allene Proctor Heaton, PT
• Heaven at Home Care
• Robin Hebert
• Ibrahim Heiba, MD, MPH

• Pediatrics Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.