DR. JENNIFER ERYN SPRAGUE


Address: 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002
Phone: 3144546051

DR. JENNIFER ERYN SPRAGUE (NPI# 1477739472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477739472
Entity Type Individual
Full Name DR. JENNIFER ERYN SPRAGUE
Credential MD
Practice Address 1 Childrens Pl Ste C
Ste C
Saint Louis
MO 63110-1002
Mailing Address 660 S Euclid Ave
C B 8116
Saint Louis
MO 63110-1010
Practice Telephone 3144546051
Practice Fax Number 3144546225
Mailing Telephone 3144546051
Mailing Fax Number 3144546225
Enumeration Date 2008-01-21
Last Update Date 2018-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 2010011924 MO Allopathic & Osteopathic Physicians
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
2010011924 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL ENROLLED 05
MO 1477739472 05

Other Providers JENNIFER SPRAGUE

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1255942744 Jennifer M Sprague Counselor 337 Se Fowler St, Roseburg, OR 97470-4348 2020-08-10
1184234346 Jennifer Lynn Sprague Counselor 8150 Wornall Rd, Kansas City, MO 64114-5806 2020-08-03
1033628268 Jennifer Teresa Sprague Physician Assistant 20 Medical Village Dr, Edgewood, KY 41017-5401 2017-09-20
1184146003 Jennifer Rachel Sprague Case Manager/Care Coordinator 811 Madison St, Everett, WA 98203-4543 2017-07-12
1295152494 Jennifer Sprague Psychiatry & Neurology 938 W Nelson St, Chicago, IL 60657 2014-03-25
1972836518 Jennifer Lyn Sprague Optometrist 35 State Hospital Dr, Bangor, ME 04401-8816 2009-09-15
1568691541 Jennifer Sprague Social Worker 5681 E Fowler Ave, Tampa, FL 33617-2307 2009-07-10
1033379714 Jennifer Sprague Nurse Practitioner 1 Cameron Hill Cir, Chattanooga, TN 37402-9815 2008-06-16

Office Location

Street Address 1 CHILDRENS PL STE C
STE C
City SAINT LOUIS
State MO
Zip Code 63110-1002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164428389 Tasnim A Najaf Pediatrics 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2005-06-22
1942712278 Claire Elizabeth Seper Nurse Practitioner 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-10-26
1801333018 Elizabeth Rose Toolan Dietitian, Registered 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-01-25
1184161820 Linda Piersall Manwaring Genetic Counselor, MS 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-01-19
1891231544 Marisa Vineyard Andrews Genetic Counselor, MS 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-01-18
1467998112 Elise Marguerite Fiala Genetic Counselor, MS 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2017-01-18
1487019394 Ericka Lauren Louer Nurse Practitioner 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2015-12-18
1588043632 Diana Lynn Culbertson Pediatrics 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2015-05-21
1790106391 Andrea Nicole Herkenhoff Nurse Practitioner 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2013-12-27
1235490400 Brooke I Polk Pediatrics 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 2012-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
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Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881813665 St Louis University Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-04-24
1063527414 David P Dempsher Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2006-08-19
1760596126 Mark C Eddy Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2006-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558909564 Lester E Cox Medical Centers Pediatrics 1011 E Montclair St, Springfield, MO 65807-5075 2019-12-20
1710320775 Sonalee Jaya Ravi Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2013-04-09
1386905768 Jennifer Walters Boyd Pediatrics 2401 Gillham Rd, Endocrinology, Kansas City, MO 64108 2012-06-02
1912264789 Sarah Jane Lenihan Tsai Pediatrics 2401 Gillham Rd, Children's Mercy Hospital, Division of Endocrinology, Kansas City, MO 64108-4619 2012-04-18
1609183284 Pratibha Rana Pediatrics 2401 Gillham Rd, Kansas City, MO 64108 2010-09-02
1083843346 Kiran S Choudhry Pediatrics 402 N Keene St, Ste 101, Columbia, MO 65201-6986 2009-07-08
1013195122 Margaret Kathleen Siska Pediatrics 1465 S Grand Blvd, St. Louis, MO 63104-1003 2008-01-31
1114114691 Childrens Endocrine Care of St. Louis, LLC Pediatrics 621 S New Ballas Rd, Suite 3002 B, Creve Coeur, MO 63141-8232 2007-09-28
1932393105 Julia Rodica Broussard Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2007-08-30
1588857817 Yun Yan Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2007-08-21
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Competitor

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City SAINT LOUIS
Zip Code 63110

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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