Individual provider Active NPI

Sparkle S Simpson, NP-C

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1437616877
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
817373 Issued in NV
Practice address
653 N Town Center Dr Ste 510
Las Vegas, NV 89144-0519
Phone
(702) 487-7119
Fax
(702) 995-0033
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 817373 NV Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 510
Las Vegas, NV 89144-0519

Mailing address

10 Sun Glow LN
Las Vegas, NV 89135-2615
Phone (702) 487-7119

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190415001830 NV Practitioner - Nurse Practitioner 7012258395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Res Wound Care PLLCGroup PAC ID 8123548914, 6 clinicians
Amir Z Qureshi MD LTDGroup PAC ID 6305850512, 5 clinicians

Practice addresses (Care Compare)

5920 S Rainbow Blvd
Suite 5
Las Vegas, NV 89118-4209
Phone (725) 724-6376

653 N Town Ctr Dr
Suite 510
Las Vegas, NV 89144-0519
Phone (702) 487-7119

98 Aneto St
Las Vegas, NV 89138-6349

Hospital & facility affiliations

  • Valley Health at Home by Bayada Home health agency, Las Vegas, NV, CCN 297106
  • Ultimate Home Health Home health agency, Las Vegas, NV, CCN 297260
  • Blessed Home Health, Inc Home health agency, Las Vegas, NV, CCN 297396
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
817373NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amir Z Qureshi MD LTD Single Specialty CurrentSince Feb 15, 2019 Accepting new patients
Res Wound Care PLLC Single Specialty CurrentSince Jan 5, 2025 Accepting new patients

Locations (25 of 30)

10301 Jeffreys St
Henderson, NV 89052
Phone (702) 269-0781

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

930 N Gibson Rd
Henderson, NV 89011
Phone (702) 673-5405

2965 Wigwam Pkwy
Henderson, NV 89074
Phone (702) 219-2012

1155 Raiders Way
Henderson, NV 89052
Phone (702) 369-7671

8565 W Rome Blvd
Las Vegas, NV 89149
Phone (702) 982-8555

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

653 N Town Center Dr
Ste 510
Las Vegas, NV 89144
Phone (702) 448-5578

6166 N Durango Dr
Las Vegas, NV 89149
Phone (702) 202-4534

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

9175 W Oquendo Rd
Las Vegas, NV 89148
Phone (702) 252-7342

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

2250 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 474-0200

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2170 E Harmon Ave
Las Vegas, NV 89119
Phone (702) 794-0100

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

4375 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 899-0100

2325 E Harmon Ave
Las Vegas, NV 89119
Phone (702) 798-1990

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

6650 Grand Montecito Pkwy
Las Vegas, NV 89149
Phone (702) 333-1290

4275 Burnham Ave
Ste 230
Las Vegas, NV 89119
Phone (702) 448-5578

6180 S Jones Blvd
Las Vegas, NV 89118
Phone (702) 715-4333

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

Organizations & group practices 2

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1437616877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SUN GLOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352615",
            "telephone_number": "702-487-7119",
            "fax_number": "702-995-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 510",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440519",
            "telephone_number": "702-487-7119",
            "fax_number": "702-995-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "SPARKLE",
        "middle_name": "S",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "817373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.