Penny Sparks, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200026 Issued in NC

Practice address

249 Billingsley Rd
Charlotte, NC 28211-1003

Phone

(704) 336-6445

Fax

(704) 336-4709

NPI assigned

Feb 14, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336282102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 PROVIDENCE FOREST LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700216",
            "telephone_number": "704-847-8099",
            "fax_number": "704-336-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111003",
            "telephone_number": "704-336-6445",
            "fax_number": "704-336-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "PENNY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZF0000071",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spark Relationship and Intimacy Counseling
• Spark Speech PLLC
• Amy Sparks, R.D.
• Edwin Wayne Sparks Jr., MD
• Kayla Sparks
• Matthew Sparling, M.S.ED
• Kaylea Nicole Sparrow, LCMHCA
• Keri Kemp Sparrow, BCBA
• Joseph David Spataro, MD
• Kimberly Elysia Spatola, RD

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.