Active NPI
Lacy Sprague, RD
- Registered Dietitian
- North Providence, RI
National Provider Identifier
1982921755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2988
- Practice address
- 200 High Service Ave
North Providence, RI 02904-5113 - Phone
- (401) 456-3198
- NPI assigned
- May 3, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2988 | MA | Primary |
Addresses
Primary practice location
200 High Service Ave
North Providence, RI 02904-5113
Mailing address
200 High Service Ave
North Providence, RI 02904-5113
Phone (508) 765-9771
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2988 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1982921755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HIGH SERVICE AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029045113",
"telephone_number": "508-765-9771",
"fax_number": "508-764-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HIGH SERVICE AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029045113",
"telephone_number": "401-456-3198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGUE",
"first_name": "LACY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Providence, RI
- Rayne Gene Smyth, P.T.
- Julie Emily Soares, COTA/L
- Jason A Soscia, O.D.
- Southern New England Eye, Inc
- Angelica Spirito, MA
- St Joseph Health Services of Ri
- St. Joseph Health Services of Rhode Island
- St. Joseph Health Services of Rhode Island
- St. Joseph Health Services of Ri
- St. Joseph Health Services of Ri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.