Active NPI
Vicky L Sparks Freeman, MT ASPC CLS NCA
- Medical Technologist
- Taos, NM
National Provider Identifier
1376638411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- Practice address
- 1090 Goat Springs Road
Taos Picuris Indian Health Center
Taos, NM 87571 - Phone
- (505) 758-4224
- Fax
- (505) 751-5211
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | Primary |
Addresses
Primary practice location
1090 Goat Springs Road
Taos Picuris Indian Health Center
Taos, NM 87571
Mailing address
PO Box 1956
Taos Picuris Indian Health Center
Taos, NM 87571
Phone (505) 758-4224
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
- Credentials
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376638411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1956",
"address_2": "TAOS PICURIS INDIAN HEALTH CENTER",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-758-4224",
"fax_number": "505-751-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 GOAT SPRINGS ROAD",
"address_2": "TAOS PICURIS INDIAN HEALTH CENTER",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-758-4224",
"fax_number": "505-751-5211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS FREEMAN",
"first_name": "VICKY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MT ASPC CLS NCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- 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.