Individual provider Active NPI

Jan C Sparks, ACNP-BC

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1467521641
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
7184 Issued in TN
Practice address
1645 Murfreesboro Pike
Suite H
Nashville, TN 37217-2936
Phone
(615) 891-7444
Fax
(615) 742-0902
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 7184 TN Primary

Addresses

Primary practice location

1645 Murfreesboro Pike
Suite H
Nashville, TN 37217-2936

Mailing address

1645 Murfreesboro Pike
Suite H
Nashville, TN 37217-2936
Phone (615) 891-7444

Other names 1

  • Miss Jan C Jackson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070517000649 TN Practitioner - Nurse Practitioner 4789781212 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Associates, PLLC CurrentSince Sep 16, 2022 Accepting new patients
J. Chris Beckman MD PLLC Past Accepting new patients
Rishi K Saxena MD PC PastSince Jun 28, 1999 Accepting new patients

Locations

625 N Highland Ave
Murfreesboro, TN 37130
Phone (615) 904-8911

625 N Highland Ave
#0
Murfreesboro, TN 37130

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJFEAA/Endpoint/HJFEAA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1467521641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 MURFREESBORO PIKE",
            "address_2": "SUITE H",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172936",
            "telephone_number": "615-891-7444",
            "fax_number": "615-742-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 MURFREESBORO PIKE",
            "address_2": "SUITE H",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172936",
            "telephone_number": "615-891-7444",
            "fax_number": "615-742-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "JAN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "7184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "JACKSON",
            "middle_name": "C",
            "prefix": "MISS",
            "credential": "ACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.