SPROUTED BEAN PEDIATRICS AND WELLNESS LLC NPI 1952190290

NPI Information

  • NPI: 1952190290
  • Provider Name: SPROUTED BEAN PEDIATRICS AND WELLNESS LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: N63W23675 MAIN ST
    SUSSEX, WI
    ZIP 53089
  • Phone: (612) 237-2746

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NPI Details

SPROUTED BEAN PEDIATRICS AND WELLNESS LLC is a multi-specialty clinic center in Sussex, WI. SPROUTED BEAN PEDIATRICS AND WELLNESS LLC NPI is 1952190290. The provider is registered as an organization entity type.

The provider's business location address is:

N63W23675 MAIN ST
SUSSEX, WI
ZIP 53089-977
Phone: (612) 237-2746

The provider's authorized official is Sabrina Michelle Foulks-thomas .
The authorized official title is Owner and has the following contact phone number (612) 237-2746.

The enumeration date for this NPI number is 5/3/2025 and was last updated on 5/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QC1500XClinic/CenterCommunity HealthNo
4261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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