Spark of Virginia, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

06858781 Issued in VA

Legal business name

SPARK OF VIRGINIA, INC.

Practice address

7809 Migration Dr
Richmond, VA 23231-8937

Phone

(804) 501-9614

Fax

(804) 507-0644

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Dwayne Chadwick Parker, B.A., QMHP

Title

Executive Director

Phone

(804) 501-9614

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1033388590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7528",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232310028",
            "telephone_number": "804-501-9614",
            "fax_number": "804-507-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 MIGRATION DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232318937",
            "telephone_number": "804-501-9614",
            "fax_number": "804-507-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK OF VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "CHADWICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-501-9614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A., QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "06858781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Leigh Spak, MS
• Andrea M. Spangler, R.D., CSP
• Jesse D Spangler, M.D.
• Tonya Spangler, DDS
• Elliott J Spanier, M.D.
• Andrea Michelle Sparks, RRT
• Cheryl Ann Sparks, CRNA
• Melissa Sparks
• Scott E. Sparks, MD
• Susan Sparks, MD

• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.