JESSICA SPROUL I


Address: 10395 Mckinley St, Nampa, ID 83687-5079
Phone: 7759342803

JESSICA SPROUL I (NPI# 1639613805) 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) 1639613805
Entity Type Individual
Full Name JESSICA SPROUL I
Practice Address 10395 Mckinley St
Nampa
ID 83687-5079
Practice Telephone 7759342803
Mailing Telephone 7759342803
Enumeration Date 2016-12-07
Last Update Date 2016-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JESSICA SPROUL

NPI Name Taxonomy Address Enumeration
1871782011 Jessica Sproul Social Worker 500 Victory Rd, Quincy, MA 02171-3139 2007-10-23

Office Location

Street Address 10395 MCKINLEY ST
City NAMPA
State ID
Zip Code 83687-5079

Providers in the same zip code

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1750828513 Daniel & Max, LLC Optometrist 1600 Karcher Rd, Nampa, ID 83687 2017-01-31
1578965422 Jorge Domingo Reyes Counselor 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 2014-09-23
1619302080 David Lyle Farris Dentist 16548 North Franklin Blvd., Nampa, ID 83687 2013-09-04
1871934547 Ian Zafar Qureshi Internal Medicine 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 2013-07-10
1457696783 Laurel Evans Specialist/Technologist 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 2012-11-27
1750641197 Andrea Patricia Fitzer Nurse Practitioner 4400 E. Flamingo Ave, Nampa, ID 83687 2012-05-18
1679846182 Ivony Case Management Case Management 811 12th Street, Ste. 2, Nampa, ID 83687 2012-02-14
1699043679 Saltzer Medical Group, P.a. Durable Medical Equipment & Medical Supplies 9850 W St Lukes Drive, Nampa, ID 83687 2011-12-06
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417419219 Amelia Money Developmental Therapist 823 Parkcentre Way, Nampa, ID 83651-1783 2019-04-02
1912440454 Julie Armstrong Developmental Therapist 823 Parkcentre Way, Nampa, ID 83651-1783 2016-12-01
1467813287 Jodie Knox Developmental Therapist 823 Parkcentre Way, Nampa, ID 83651-1783 2016-03-08
1396104261 Robin Welgan Developmental Therapist 823 Parkcentre Way, Nampa, ID 83651-1783 2016-02-19
1588023451 Kari Krueger Developmental Therapist 823 Parkcentre Way, Nampa, ID 83651-1783 2016-02-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225664931 Emmerance Tshite Developmental Therapist 1805 E Overland Rd Apt 2123, Meridian, ID 83642-6876 2020-03-14
1316586506 Kalley Ward Malone Developmental Therapist 2401 W Norcrest Dr, Boise, ID 83705-4346 2020-01-05
1063064384 Patricia Jacobs Developmental Therapist 3800 W Perugia St Apt V108, Meridian, ID 83642-4966 2019-07-16
1306326863 Jennifer Beason Developmental Therapist 9517 W Lillywood Dr, Boise, ID 83709-5371 2018-08-15
1740789064 April M Teachout Developmental Therapist 3153 S. Lawndale Ave, Chicago, ID 60623-5039 2018-02-02
1831618545 Erica Cundiff Developmental Therapist 10352 Aileen Ave., Mokena, ID 60448 2017-09-13
1427419886 Becky Allen Developmental Therapist 150 Shoupe Ave, Idaho Falls, ID 83402 2016-03-14
1073974515 Carly Kay Powell Developmental Therapist 150 Shoup Avenue, Idaho Falls, ID 83402 2016-03-11
1518327741 Magdalena Weimer Developmental Therapist 701 E Alice St, Blackfoot, ID 83221-4925 2016-03-01
1073973301 Ketha Mead Developmental Therapist 1350 Troy Rd, Suite 2, Moscow, ID 83843-3995 2016-02-29
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Competitor

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City NAMPA
Zip Code 83687

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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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