Deloris Alice Sparkman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4010254 Issued in KY

Practice address

101 Town and Country LN
Hazard, KY 41701-9524

Phone

(606) 439-1300

NPI assigned

Nov 27, 2023

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

Medicare fee-for-service enrollment

Enrolled in KY

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Centers of Eastern Kentucky LLCGroup PAC ID 3971415993, shared by 5 NPIs, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCJFBA

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.

• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Whitesburg, KY
  • NPI 1366227555
  Medicare reassignment NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Hyden, KY
  • NPI 1891841961
  Medicare reassignment NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Scuddy, KY
  • NPI 1184676314
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Hindman, KY
  • NPI 1356395198
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1942275805
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • General Practice Dentistry
  • Hazard, KY
  • NPI 1598930026
  NPD (past)

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1184490666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "CORNETTSVILLE",
            "state": "KY",
            "postal_code": "417310606",
            "telephone_number": "606-216-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN AND COUNTRY LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019524",
            "telephone_number": "606-439-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Lauren Lane",
            "address_purpose": "LOCATION",
            "city": "Cornettsville",
            "state": "KY",
            "postal_code": "417314173",
            "country_code": "US",
            "telephone_number": "606-216-8277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKMAN",
        "first_name": "DELORIS",
        "middle_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4010254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Medical Partners, LLC
• Sherry Lynn Southern
• Kurt Sowers, MD
• Laura Deneer Spare
• Michael A Spare, L.C.S.W.
• Lesli Brooke Sparkman, OT
• Gareth John Sparks
• Diane Spencer
• Donnie R Spencer, MD
• Amber Brooke Spicer, D.O.

• Family Nurse Practitioner in Hazard, KY
• Providers in Hazard, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.