Individual provider Active NPI

Sparkle Carey, LPN

  • Licensed Practical Nurse
  • Lorain, OH
National Provider Identifier
1568007052
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.167467.MEDS-IV Issued in OH
Practice address
2428 Elyria Ave
Lorain, OH 44055-1366
Phone
(440) 787-1767
NPI assigned
Nov 8, 2019
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.167467.MEDS-IV OH Primary

Addresses

Primary practice location

2428 Elyria Ave
Lorain, OH 44055-1366

Mailing address

16235 Drake Rd
Strongsville, OH 44136-7303
Phone (440) 452-5637

Other practice location 1

404 Brownell Ave
Lorain, OH 44052-1354
Phone (440) 305-0474

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Openarmsadulthome@yahoo.com Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN.167467.MEDS-IVOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Child Care and Wellness Center Current Accepting new patients
Open Arms Adult Care West1 CurrentSince Jan 12, 2020 Accepting new patients

Locations

2428 Elyria Ave
Lorain, OH 44055
Phone (440) 452-5637

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1568007052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16235 DRAKE RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441367303",
            "telephone_number": "440-452-5637",
            "fax_number": "440-306-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 ELYRIA AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440551366",
            "telephone_number": "440-787-1767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Brownell Ave",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440521354",
            "country_code": "US",
            "telephone_number": "440-305-0474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAREY",
        "first_name": "SPARKLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.167467.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Openarmsadulthome@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2428 Elyria Ave",
            "city": "Lorain",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440551366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.