Individual provider Active NPI

Nicole Suzanne Sperger, MS, LAT, ATC

  • Specialist
  • Dover, DE
National Provider Identifier
1992874853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
JT0000623
Practice address
1200 N Dupont Hwy
Dover, DE 19901-2202
Phone
(302) 857-7554
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X JT0000623 Primary

Addresses

Primary practice location

1200 N Dupont Hwy
Dover, DE 19901-2202

Mailing address

1300 S Farmview Dr Apt D15
Dover, DE 19904-7701
Phone (920) 251-3727

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992874853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S FARMVIEW DR APT D15",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047701",
            "telephone_number": "920-251-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N DUPONT HWY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199012202",
            "telephone_number": "302-857-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERGER",
        "first_name": "NICOLE",
        "middle_name": "SUZANNE",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "JT0000623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.