Individual provider Active NPI

Whitney Bonner Sparks, NP

  • Family Nurse Practitioner
  • Belmont, MS
National Provider Identifier
1265865992
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R883463 Issued in MS
Practice address
26 3Rd St
Belmont, MS 38827-7737
Phone
(662) 454-4520
Fax
(662) 454-4521
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tishomingo Health Services, Inc. 25 clinicians

Practice addresses (Care Compare)

26 3Rd St
Belmont, MS 38827-7737
Phone (662) 454-4520

Hospital & facility affiliations

  • North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
  • Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20140228000637 MS Practitioner - Nurse Practitioner 6406086966 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R883463MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tishomingo Health Services, Inc. CurrentSince May 1, 2019 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Tishomingo Health Services, Inc. CurrentSince May 1, 2019 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Dec 16, 2013 Accepting new patients
North Mississippi Medical Clinics Inc Family CurrentSince Dec 16, 2013 Accepting new patients
Tishomingo Health Services, Inc. Current Accepting new patients

Locations

26 3rd St
Belmont, MS 38827
Phone (662) 454-4520

1771 Curtis Dr
Iuka, MS 38852
Phone (662) 423-6014

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

Interoperability endpoints

  • Direct secure messaging: whitneysparks@nmhs.medalliesdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R883463 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

26 3Rd St
Belmont, MS 38827-7737

Mailing address

450 E President Ave
Tupelo, MS 38801-5599
Phone (662) 377-4685

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
08781307MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2019.

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1265865992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 3RD ST",
            "city": "BELMONT",
            "state": "MS",
            "postal_code": "388277737",
            "telephone_number": "662-454-4520",
            "fax_number": "662-454-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "WHITNEY",
        "middle_name": "BONNER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R883463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08781307",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MS

Sources for this page

Verify at the official NPI Registry.