Individual provider Active NPI

Carisa Sparks, FNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1356689129
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-109022 Issued in AL
Practice address
4810 Whitesport Cir SW Ste 202
Huntsville, AL 35801-7420
Phone
(256) 880-0450
Fax
(256) 880-0754
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-109022 AL Primary

Addresses

Primary practice location

4810 Whitesport Cir SW Ste 202
Huntsville, AL 35801-7420

Mailing address

4810 Whitesport Cir SW Ste 202
Huntsville, AL 35801-7420
Phone (256) 880-0450

Other practice location 1

8151 Whitesburg Dr SE
Huntsville, AL 35802-4557
Phone (256) 882-9711

Other practice location 2

11365 Highway 231 431 N Ste F
Meridianville, AL 35759-2151
Phone (256) 693-7070

Other practice location 3

10300 Bailey Cove Rd SE Ste 13
Huntsville, AL 35803-2635
Phone (256) 880-6138

Other practice location 4

8121 Madison Blvd Ste 101A
Madison, AL 35758-2082
Phone (256) 325-6499

Other practice location 5

2903 Wall Triana Hwy SW
Huntsville, AL 35824-1537
Phone (256) 464-9085

Other practice location 6

1650 Slaughter Rd Ste A
Madison, AL 35758-8610
Phone (256) 325-3646

Other practice location 7

7244 Bailey Cove Rd SE Ste B
Huntsville, AL 35802-2868
Phone (256) 261-3340

Other practice location 8

2506 Danville Road SE Suite 204 B
Decatur, AL 35603
Phone (256) 686-4044

Other practice location 9

12100 County Line Rd Ste A2
Madison, AL 35756-2006
Phone (256) 325-6722

Other practice location 10

165 Whitesport Dr SW Ste 1
Huntsville, AL 35801-7427
Phone (256) 585-1567

Other practice location 11

165 Whitesport Dr SW Ste 1
Huntsville, AL 35801-7427
Phone (256) 585-1567

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carisa.sparks.4@3038.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130215000332 AL Practitioner - Nurse Practitioner 8325292543 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crestwood Physician Services, LLCGroup PAC ID 3476735648, 38 clinicians
HH Health System Crestwood Physicians, LLCGroup PAC ID 8628546397, 33 clinicians

Practice addresses (Care Compare)

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 882-3100

400 Whitesport Dr SW
Suite 200
Huntsville, AL 35801-6429
Phone (256) 489-3836

7900 Bailey Cove Rd SE
Suite 7
Huntsville, AL 35802-3324
Phone (256) 261-3340

Hospital & facility affiliations

  • Amedisys Home Health of Huntsville Home health agency, Huntsville, AL, CCN 017039
  • Centerwell Home Health Home health agency, Huntsville, AL, CCN 017161
  • Aveanna Home Health Home health agency, Huntsville, AL, CCN 017176
  • Prohealth Home Health, LLC Home health agency, Huntsville, AL, CCN 017178
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Nov 30, 2012 Accepting new patients
American Family Care, LLC Current Accepting new patients
Crestwood Physician Services, LLC CurrentSince Oct 5, 2015 Accepting new patients
American Family Care, LLC CurrentSince Nov 30, 2012 Accepting new patients
Rainbow Family Medicine Past Accepting new patients

Locations

2147 Riverchase Office Rd
Hoover, AL 35244
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

10300 Bailey Cove Rd SE
Ste 13
Huntsville, AL 35803
Phone (256) 585-2530

7900 Bailey Cove Rd SE
Ste 7
Huntsville, AL 35802

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

165 Whitesport Dr SW
Ste 1
Huntsville, AL 35801
Phone (256) 585-1567

7244 Bailey Cove Rd SE
Ste B
Huntsville, AL 35802
Phone (256) 261-3340

4810 Whitesport Cir SW
Ste 201
Huntsville, AL 35801
Phone (256) 429-5248

8121 Madison Blvd
Ste 101A
Madison, AL 35758
Phone (256) 325-0041

12100 County Line Rd
Ste A2
Madison, AL 35756
Phone (256) 325-6722

1650 Slaughter Rd
#A
Madison, AL 35758
Phone (256) 325-3646

11365 Highway 231 431 N
Ste F
Meridianville, AL 35759
Phone (256) 693-7070

Interoperability endpoints

  • Direct secure messaging: carisa.sparks.4@3038.direct.athenahealth.com
  • Direct secure messaging: carisa.sparks.7@3038.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4
  • Direct secure messaging: carisa.sparks.6@3038.direct.athenahealth.com

Organizations & group practices 6

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1356689129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 WHITESPORT CIR SW STE 202",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017420",
            "telephone_number": "256-880-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 WHITESPORT CIR SW STE 202",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017420",
            "telephone_number": "256-880-0450",
            "fax_number": "256-880-0754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8151 Whitesburg Dr SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358024557",
            "country_code": "US",
            "telephone_number": "256-882-9711",
            "fax_number": "256-882-0649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11365 Highway 231 431 N Ste F",
            "address_purpose": "LOCATION",
            "city": "Meridianville",
            "state": "AL",
            "postal_code": "357592151",
            "country_code": "US",
            "telephone_number": "256-693-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 Bailey Cove Rd SE Ste 13",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358032635",
            "country_code": "US",
            "telephone_number": "256-880-6138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8121 Madison Blvd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582082",
            "country_code": "US",
            "telephone_number": "256-325-6499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2903 Wall Triana Hwy SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358241537",
            "country_code": "US",
            "telephone_number": "256-464-9085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Slaughter Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357588610",
            "country_code": "US",
            "telephone_number": "256-325-3646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7244 Bailey Cove Rd SE Ste B",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358022868",
            "country_code": "US",
            "telephone_number": "256-261-3340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2506 Danville Road SE Suite 204 B",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "35603",
            "country_code": "US",
            "telephone_number": "256-686-4044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12100 County Line Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357562006",
            "country_code": "US",
            "telephone_number": "256-325-6722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Whitesport Dr SW Ste 1",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358017427",
            "country_code": "US",
            "telephone_number": "256-585-1567",
            "fax_number": "256-270-7183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Whitesport Dr SW Ste 1",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358017427",
            "country_code": "US",
            "telephone_number": "256-585-1567",
            "fax_number": "256-585-1587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "CARISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-109022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carisa.sparks.4@3038.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "4810 Whitesport Cir SW Ste 202",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358017420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.