Sparks Healthcare Clinic

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

SPARKS HEALTHCARE CLINIC

Practice address

3503 Memorial Pkwy NW Ste D
Huntsville, AL 35810-2445

Phone

(205) 442-6541

NPI assigned

Feb 3, 2022

Organization subpart

No

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

Authorized official

Name

Mary E Sparks, CRNPNPI 1144826314

Title

CRNP/Owner

Phone

(205) 442-6541

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26362/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Elaine Sparks, NP

  • Acute Care Nurse Practitioner
  • Huntsville, AL
  • NPI 1144826314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1396498853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 MEMORIAL PKWY NW STE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358102445",
            "telephone_number": "205-442-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 MEMORIAL PKWY NW STE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358102445",
            "telephone_number": "205-442-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CRNP/OWNER",
        "authorized_official_telephone_number": "205-442-6541",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Kate Spahn, DPT
• Thomas K Spain Jr., MD
• Frank J Spalla, Jr., O.D.
• Kelly Spangler
• Sparkman Eye Care
• Carisa Sparks, FNP
• Leeann Sparks, CRNP
• Mary Elaine Sparks, NP
• Yvette Sparks
• Speak Up Speech, LLC

• Adult Health Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.