Nicole Sparkman, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

18239 Issued in TN

Practice address

482 Interstate Dr
Manchester, TN 37355-3485

Phone

(931) 444-1000

Fax

(931) 728-1229

NPI assigned

Jan 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.sparkman@mcrhc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coffee Medical Group LLC

  dba Center for Family Medicine

  • Rural Health Clinic/Center
  • Manchester, TN
  • NPI 1700192028
  NPD (past)

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

{
    "created_epoch": "1389484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1437571353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011835",
            "telephone_number": "615-454-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553485",
            "telephone_number": "931-444-1000",
            "fax_number": "931-728-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 N James Campbell Blvd",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384012756",
            "country_code": "US",
            "telephone_number": "615-824-3737 x1201",
            "fax_number": "888-687-6133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Commerce St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372011835",
            "country_code": "US",
            "telephone_number": "615-454-9850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 McMinnville Hwy",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373553179",
            "country_code": "US",
            "telephone_number": "931-444-1000",
            "fax_number": "931-728-1229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKMAN",
        "first_name": "NICOLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-12",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "18239",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18239",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100280680",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005004",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Family Markets LLC (Southern Family Market)
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southland LTC Pharmacy
• Southland Pharmacy LLC
• Southland Pharmacy LLC
• Benjamin Charles Spaulding Jr., DDS
• Susan R St. John, CRNA
• Staffco of Eastern TN. Inc (At Home Health Care of Central Tn.)
• State of Tennessee (Coffee County Health Department)
• Zsarel Stepp

• Psychiatric/Mental Health Nurse Practitioner in Manchester, TN
• Providers in Manchester, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.