Dawnshetta Nycole Sparks

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA0008463995 Issued in TX

Practice address

2805 Shaye LN
Fort Worth, TX 76112-5931

Phone

(214) 670-2161

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1366054405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 SHAYE LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125931",
            "telephone_number": "214-670-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 SHAYE LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125931",
            "telephone_number": "214-670-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "DAWNSHETTA",
        "middle_name": "NYCOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA0008463995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gmail",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "2805 Shaye Ln",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761125931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Nicole Spano
• Destiny Sparacino
• Ashley D Sparkman
• Alberta Diane Sparks, RD, LD
• Chase Randall Sparks, PHARMD
• Marissa Danielle Sparks, CRNA
• Susan Sparks, LPC
• Susan Lorraine Sparks, PHYSICAL THERAPIST
• Timothy J. Sparks, CRNA
• Sparrow OT & Wellness PLLC

• Nurse's Aide in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nurse's Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.