Shawntay Sparks, ACNP-BC
Individual provider Active NPI Acute Care Nurse Practitioner · Mineral Wells, TX
NPI 1144899741 · NPPES record last updated Jun 18, 2021
Key facts
- NPI
- 1144899741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 1044883 (TX)
- Practice address
- 400 SW 25TH Ave
Mineral Wells, TX 76067-8246 - Phone
- (325) 647-6979
- NPI assigned
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health Alliance
Concord Medical Group PLLC
Concord Medical Group of Texas PLLC
Practice addresses (Care Compare)
301 Richland W Cir
Providence Internal Medicine Clinic
Waco, TX 76712-7932
Phone (254) 537-6200
340 Richland W Cir
Ascension Medical Group Providence
Waco, TX 76712-7919
Phone (254) 537-6050
342 Richland W Cir
Waco, TX 76712-7919
Phone (254) 537-6600
400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891
405 Londonderry Dr
Waco, TX 76712-7922
Hospital & facility affiliations
- Ascension Providence
- Palo Pinto General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210826002898 | TX | Practitioner - Nurse Practitioner | 0749685865 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalist Services of Texas PLLC | Current |
Accepting new patients | |
| Comprehensive Hospitalist Services of Texas PLLC | Current | Accepting new patients | |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Providence Health Alliance | Current |
Accepting new patients | |
| Concord North Texas, PLLC | Current |
Accepting new patients | |
| Providence Health Alliance | Current |
Accepting new patients | |
| Comprehensive Hospitalist Services of Texas, PLLC | Current |
Accepting new patients | |
| Texan Family Health LLC | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Travis County Emergency Physicians PA | Current |
Accepting new patients | |
| South Central Physicians PLLC | Current |
Accepting new patients |
Locations
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647
119 Central Ave
Strawn, TX 76475
Phone (254) 672-5200
301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200
6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000
Interoperability endpoints
- ssparks@yourcarecommunity.org
- shawntay.sparks.1@9635.direct.athenahealth.com
- shawntay.sparks.2@9635.direct.athenahealth.com
- https://api.platform.athenahealth.com/25154/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1044883 | TX | Yes |
Addresses
Primary practice location
400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Mailing address
1 Creekwood Cir
Brownwood, TX 76801-6651
Phone (325) 647-6979
Other providers in Mineral Wells, TX
- Serenity Estates LLC
- Meng Seth
- Simply Health Mobile Clinic PLLC
- Jessica Caroline Smith
- Jeremy A Smyrl
- Sunny Ray Story
- Strawn Isd
- Ashley Stanford Surber
- Tim R Tarkenton
- Tom Allen Tarkenton
All providers in Mineral Wells, TX · Acute Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.