Kelly Lynn Sparks White, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-150754 Issued in AL

Practice address

635 Discovery Dr NW
Huntsville, AL 35806-2801

Phone

(256) 428-7560

Fax

(256) 428-7561

NPI assigned

Oct 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heals Inc

  • Pediatrics Physician
  • Huntsville, AL
  • NPI 1932255924
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1083378509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 DISCOVERY DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062801",
            "telephone_number": "256-428-7560",
            "fax_number": "256-428-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 DISCOVERY DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062801",
            "telephone_number": "256-428-7560",
            "fax_number": "256-428-7561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3112 Meridian St N",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358111539",
            "country_code": "US",
            "telephone_number": "256-428-7110",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Bob Wallace Ave SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358053308",
            "country_code": "US",
            "telephone_number": "256-428-7488",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2755 Wilson Dr NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358163949",
            "country_code": "US",
            "telephone_number": "256-428-7428",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11588 Pulaski Pike",
            "address_purpose": "LOCATION",
            "city": "Toney",
            "state": "AL",
            "postal_code": "357739381",
            "country_code": "US",
            "telephone_number": "256-693-1006",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KELLY",
        "middle_name": "LYNN SPARKS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276573",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277515",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321451",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276227",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276564",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Jacob White, MD
• Gina McClure White, M.D.
• Jermaine White, NP-C
• Jonathan L White, MD
• Katherine Baker White, CRNA
• Kimberly Grace Anne White, CRNP
• Margaret May White, RDN, LD
• Nancy Tarbox White, M.D.
• Nathan Paul Blaine White, RN, NRP
• Rajahmel White, MS

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.