Active NPI
Jayme Sparks
- Case Manager/Care Coordinator
- Prestonsburg, KY
National Provider Identifier
1275931222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 561 N Lake Dr
Prestonsburg, KY 41653-1278 - Phone
- (606) 422-0883
- NPI assigned
- Dec 8, 2014
- Last updated
- Dec 11, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
561 N Lake Dr
Prestonsburg, KY 41653-1278
Mailing address
516 North Lake Drive
Prestonsburg, KY 41653
UM
Phone (606) 216-7993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418256000000",
"number": "1275931222",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "516 NORTH LAKE DRIVE",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "41653",
"telephone_number": "606-216-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 N LAKE DR",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531278",
"telephone_number": "606-422-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "JAYME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.