Sparta Wellness

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

AP123540 Issued in TX

Legal business name

SPARTA WELLNESS

Practice address

27350 Blueberry Hill Dr
Suite 10
Conroe, TX 77385-8963

Phone

(504) 914-6005

NPI assigned

Mar 31, 2015

Last updated

Mar 31, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather Smith, NP

Title

Nurse Practitioner

Phone

(504) 914-6005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1336534973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27350 BLUEBERRY HILL DR",
            "address_2": "SUITE 10",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773858963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27350 BLUEBERRY HILL DR",
            "address_2": "SUITE 10",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773858963",
            "telephone_number": "504-914-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "504-914-6005",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "AP123540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Regan Sossaman
• Southeast Texas Hyperbaric Medicine
• Southeast Texas Hyperbaric Medicine Center, P.a.
• Southern Texas Physicians Network Inc
• John C Sparks Jr., M.D.
• Anthony Tyler Spates, DDS
• Rebecca Danielle Spaulding, LPC
• Speech Boulevard, LLC
• Stephanie Spencer, FNP-C
• Jennifer Leigh Spillman, PSYD

• Point of Service in Conroe, TX
• Providers in Conroe, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.