NPIMap

Organization Active NPI

Sprouted Bean Pediatrics and Wellness LLC

  • Multi-Specialty Clinic/Center
  • Sussex, WI
National Provider Identifier
1952190290
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SPROUTED BEAN PEDIATRICS AND WELLNESS LLC
Practice address
N63W23675 Main St
Sussex, WI 53089-3977
Phone
(612) 237-2746
NPI assigned
May 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Authorized official

Name
Sabrina Michelle Foulks-Thomas, RN, CPM, LM, IBCLCNPI 1972934388
Title
Owner
Phone
(612) 237-2746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Community Health Clinic/Center 261QC1500X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

N63W23675 Main St
Sussex, WI 53089-3977

Mailing address

W233N7735 Chestnut CT
Sussex, WI 53089-1522
Phone (612) 237-2746

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1952190290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W233N7735 CHESTNUT CT",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530891522",
            "telephone_number": "612-237-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N63W23675 MAIN ST",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893977",
            "telephone_number": "612-237-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTED BEAN PEDIATRICS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "FOULKS-THOMAS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-237-2746",
        "authorized_official_credential": "RN, CPM, LM, IBCLC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; 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.