Individual provider Active NPI

Dylan Burt Sparnecht

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1457279895
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
908565 Issued in MS
Practice address
120 Stone Creek Blvd Ste 300
Flowood, MS 39232-8211
Phone
(769) 230-3634
NPI assigned
Jul 6, 2026
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 908565 MS Primary

Addresses

Primary practice location

120 Stone Creek Blvd Ste 300
Flowood, MS 39232-8211

Mailing address

115 Metts St
Louisville, MS 39339-2601
Phone (601) 728-0400

Other practice location 1

115 Metts St
Louisville, MS 39339-2601
Phone (601) 728-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

778 Liberty Rd
Flowood, MS 39232-9321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1457279895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 METTS ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392601",
            "telephone_number": "601-728-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STONE CREEK BLVD STE 300",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328211",
            "telephone_number": "769-230-3634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Metts St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "MS",
            "postal_code": "393392601",
            "country_code": "US",
            "telephone_number": "601-728-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARNECHT",
        "first_name": "DYLAN",
        "middle_name": "BURT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "908565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.