NPIMap

Organization Active NPI

Sparkman Behavioral Health, P. C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1396182838
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP-02005 Issued in NM
Legal business name
SPARKMAN BEHAVIORAL HEALTH, P. C.
Practice address
313 W Country Club Rd
Suite 5
Roswell, NM 88201-5804
Phone
(866) 559-8607
Fax
(866) 559-8607
NPI assigned
May 23, 2013
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Loretta Margaret Sparkman, PMHNP-BCNPI 1710250493
Title
President
Phone
(575) 626-1493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X CNP-02005 NM Primary

Addresses

Primary practice location

313 W Country Club Rd
Suite 5
Roswell, NM 88201-5804

Mailing address

PO Box 571
Roswell, NM 88202-0571
Phone (866) 559-8607

Other names 1

  • Loretta M Sparkman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130916000234 NM Part B Supplier - Clinic/Group Practice 1658515556 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, NM; Roswell, NM

National Provider Directory

National Provider Directory

Locations

2402 W Pierce St
Ste 6F
Carlsbad, NM 88220
Phone (505) 887-6685

108 E 3rd St
#5
Roswell, NM 88201
Phone (866) 559-8607

205 W 6th St
Ste D
Roswell, NM 88201
Phone (866) 559-8607

207 N Union Ave
Ste G
Roswell, NM 88201
Phone (505) 624-0486

1200 Sudderth Dr
Ste B
Ruidoso, NM 88345
Phone (866) 559-8607

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1396182838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882020571",
            "telephone_number": "866-559-8607",
            "fax_number": "866-559-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB RD",
            "address_2": "SUITE 5",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015804",
            "telephone_number": "866-559-8607",
            "fax_number": "866-559-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKMAN BEHAVIORAL HEALTH, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SPARKMAN",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-626-1493",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-02005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loretta M Sparkman",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.