Kimberly C Sparks, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

1139 First Colonial Rd
Virginia Beach, VA 23454-2402

Phone

(757) 507-0340

Fax

(757) 507-0341

NPI assigned

Mar 3, 2008

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 VA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Ear Nose and Throat SurgeonsGroup PAC ID 9133157522, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coastal Ear Nose and Throat Surgeons

  • Specialist
  • Virginia Beach, VA
  • NPI 1497835615
  Medicare reassignment Care Compare group NPD
• Coastal Hearing & Balance Solutions LLC

  • Audiologist
  • Virginia Beach, VA
  • NPI 1285256974
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1194995597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542402",
            "telephone_number": "757-507-0340",
            "fax_number": "757-507-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542402",
            "telephone_number": "757-507-0340",
            "fax_number": "757-507-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Toya Spady
• Deinika Tarsha Spain, FNP
• D'Nita Marie Spann, LPC
• Alexa Gabrielle Goboy Sparkman
• Kendall R Sparks, LPC
• Brandon Thomas Sparrer
• Azzanni Sparrow
• Danielle Spataro
• Jeffrey Spaulding, DC
• Robert Michael Spear, DO

• Audiologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.