MARIE ANN SPRAGUE (NPI# 1215902838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215902838 |
| Entity Type | Individual |
| Full Name | DR. MARIE ANN SPRAGUE |
| Other Name | MARIE ANN ADAMS (Former Name) |
| Gender | Female |
| Credential | D.O. |
| Other Credential | D.O. |
| Practice Address | 824 Gum Branch Rd Suite Q Jacksonville NC 28540-6272 |
| Practice Telephone | 8146029086 |
| Practice Fax Number | 9103461054 |
| Mailing Address | 201 Canaan Ct Jacksonville NC 28546-5280 |
| Mailing Telephone | 8146029096 |
| Mailing Fax Number | 9103461054 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2016-07-16 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 2084P0800X | Psychiatry & Neurology Specialization: Psychiatry | DO-851 | AL | Allopathic & Osteopathic Physicians |
| PECOS Associate Control (PAC) ID | 7416088224 by Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20100623000167 |
| Last Name | SPRAGUE |
| First Name | MARIE |
| Middle Name | ANNE |
| Location | 824 Gum Branch Rd, Suite Q, Jacksonville, NC 28540-6269 |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PSYCHIATRY |
| Street Address | 824 GUM BRANCH RD SUITE Q |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-6272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093040503 | Dawn Rochelle | Social Worker · Clinical | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2009-10-16 |
| 1528506144 | Alyssa Nicole Slusser | Physical Therapist | 824 Gum Branch Rd, Suite W, Jacksonville, NC 28540-6272 | 2017-02-02 |
| 1780072736 | Debra Rhodes | Counselor | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2014-12-29 |
| 1255771242 | Sara Parrish | Social Worker · Clinical | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2013-07-05 |
| 1942648043 | Coastal Serenity Psychiatry Pllc | Psychiatry & Neurology · Psychiatry | 824 Gum Branch Rd, Suite Q, Jacksonville, NC 28540-6272 | 2013-06-11 |
| 1619223245 | Vicki Darleen Lane | Social Worker · Clinical | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2012-08-01 |
| 1619254505 | Therapy Flow | Community/Behavioral Health | 824 Gum Branch Rd, Suite B. Room 4, Jacksonville, NC 28540-6272 | 2011-11-07 |
| 1982996674 | Easter Seals Ucp North Carolina & Virginia, Inc. | Counselor · Mental Health | 824 Gum Branch Rd, Suites C & D, Jacksonville, NC 28540-6272 | 2011-05-12 |
| 1841421302 | Loretta Keelin Counseling, Inc | Social Worker · Clinical | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2009-08-01 |
| 1467692814 | Rha Health Services, Inc. · Jacksonville Mobile Crisis Mgt | Community/Behavioral Health | 824 Gum Branch Rd, Jacksonville, NC 28540-6272 | 2009-02-25 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265021034 | Troy D Holton | Military Health Care Provider · Independent Duty Corpsman | Bldg H-1, Fpo, AA 28540 | 2021-01-15 |
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-Suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor · Mental Health | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider · Independent Duty Corpsman | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider · Independent Duty Corpsman | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider · Independent Duty Corpsman | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1821631045 | Rashan Jammeelah Jones | 5991 Chester Ave Ste 106, Jacksonville, FL 32217-2265 | 2019-10-21 | |
| 1447754080 | Julia Teytelbaum | 580 W 8th St Fl II6, Jacksonville, FL 32209-6533 | 2018-03-20 | |
| 1740636307 | Jonathan David Browning | 4884 Deer Creek Drive W, Jacksonville, FL 32246 | 2016-05-12 | |
| 1013390152 | Richard Ziewai Wu | 14540 Old Saint Augustine Rd Ste 2591, Jacksonville, FL 32258-7420 | 2015-07-07 | |
| 1033503503 | Victor Bryant Adriano Santos | 8823 San Jose Blvd Ste 301, Jacksonville, FL 32217-4290 | 2015-03-23 | |
| 1336540830 | Angeles Alvarez-Mullin | 7825 Baymeadows Way Suite 300, Florida Dept of Health, Division of Disabilities Determ, Jacksonville, FL 32256 | 2014-09-16 | |
| 1639512833 | Robert D. Puder | 1250 Western Blvd Ste L2, #292, Jacksonville, NC 28546-6755 | 2013-04-08 | |
| 1417211657 | Cody Chance Armstrong | 2005 Knight Ln., Bldg H, Jacksonville, FL 32212-0140 | 2012-07-03 | |
| 1063778835 | Jonathan Carvajal | 2950 Halcyon Ln Ste 705, Jacksonville, FL 32223-6692 | 2012-04-06 | |
| 1043586746 | Henry Lepely Md Pa | 4131 University Blvd S Ste 7, Jacksonville, FL 32216-4346 | 2012-03-27 | |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598814485 | Janine Marie Sprague I · Janine Marie Sprague | Occupational Therapist | 8076 Arrowwood Ct, Terre Haute, IN 47802-9174 | 2007-01-09 |
| 1477903888 | Diane Sprague Park · Diane Marie Sprague | Social Worker | 432 Center St, Ashland, OH 44805-3247 | 2016-06-16 |
| 1033452537 | Amy Marie Sprague · Amy Marie Trzcinski | Speech-Language Pathologist | 130 Loomis Drive, West Hartford, CT 06107 | 2013-04-03 |
| 1841425139 | Rosemary I. Sprague · Rose Sprague | Social Worker | 8989 Huron St, Thornton, CO 80260-6858 | 2009-05-15 |
| 1386653400 | Sprague School District | Local Education Agency (LEA) | South 512 F Street, Sprague, WA 99032 | 2006-08-07 |
| 1588105613 | Thomas Sprague · Tom Sprague | Counselor | 670 Route 6a, East Sandwich, MA 02537-1436 | 2017-03-08 |
| 1336344001 | Sadie Marie Altringer · Sadie Marie Rausenberger | Chiropractor | 12905 E Sprague Ave, Spokane Valley, WA 99216-0731 | 2007-06-20 |
| 1841620804 | Jennifer Marie Baeza · Jennifer Marie Sprague | Counselor · Addiction (Substance Use Disorder) | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2013-11-12 |
| 1225432925 | Susan Marie Welde · Susan Marie Kimmell | Counselor | 2118 E Sprague Ave, Spokane, WA 99202-3125 | 2014-10-09 |
| 1558859819 | Morgan Marie Chase · Morgan Marie Sprague | Student in an Organized Health Care Education/Training Program | 2250 N Airport Rd, Weatherford, OK 73096-3351 | 2018-04-23 |
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| 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.