Active NPI
Mary Elaine Sparks, NP
- Acute Care Nurse Practitioner
- Huntsville, AL
National Provider Identifier
1144826314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2020003093
- Practice address
- 3503 Memorial Pkwy NW Ste D
Huntsville, AL 35810-2445 - Phone
- (256) 945-7190
- Fax
- (256) 562-8700
- NPI assigned
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1-145441 | AL | |
| Acute Care Nurse Practitioner | 363LA2100X | 2020003093 | AL | Primary |
Addresses
Primary practice location
3503 Memorial Pkwy NW Ste D
Huntsville, AL 35810-2445
Mailing address
3503 Memorial Pkwy NW Ste D
Huntsville, AL 35810-2445
Phone (256) 945-7190
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3503 Memorial Pkwy NW
Suite D
Huntsville, AL 35810-2445
Phone (256) 945-7190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-145441 | AL | MD | Acute Care Nurse Practitioner |
| 2020003093 | AL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparks Healthcare Clinic | Acute Care | Current | Accepting new patients |
Locations
3503 Memorial Pkwy NW
Ste D
Huntsville, AL 35810
Phone (205) 442-6541
Interoperability endpoints
- https://api.platform.athenahealth.com/26362/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1144826314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3503 MEMORIAL PKWY NW STE D",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358102445",
"telephone_number": "256-945-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3503 MEMORIAL PKWY NW STE D",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358102445",
"telephone_number": "256-945-7190",
"fax_number": "256-562-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "MARY",
"middle_name": "ELAINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "1-145441",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "2020003093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.