Individual provider Active NPI

Alicia Sparks, AUD

  • Audiologist
  • Tulsa, OK
National Provider Identifier
1568031441
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5562 Issued in OK
Practice address
3105 S Harvard Ave
Tulsa, OK 74135-4402
Phone
(918) 508-7601
Fax
(918) 508-7603
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5562 OK Primary

Addresses

Primary practice location

3105 S Harvard Ave
Tulsa, OK 74135-4402

Mailing address

3105 S Harvard Ave
Tulsa, OK 74135-4402
Phone (918) 508-7601

Other practice location 1

502 S Aspen Avenue
Broken Arrow, OK 74012
Phone (918) 508-7601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729000363 OK Practitioner - Qualified Audiologist 8527461441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

535 NW
9TH Suite 235
Okahoma City, OK 73102-1070
Phone (405) 772-4338

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5562OKMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Nov 1, 2022 Accepting new patients
The Scholl Center for Communication Disorders CurrentSince Jun 1, 2021 Accepting new patients
Saints Medical Group, LLC CurrentSince Nov 1, 2022 Accepting new patients
Freedom Hearing Audiologist CurrentSince Jul 1, 2021 Accepting new patients

Locations

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

535 NW 9th St
Ste 235
Oklahoma City, OK 73102
Phone (405) 272-6877

3105 S Harvard Ave
Tulsa, OK 74135
Phone (918) 508-7601

Organizations & group practices 4

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1568031441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354402",
            "telephone_number": "918-508-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354402",
            "telephone_number": "918-508-7601",
            "fax_number": "918-508-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 S Aspen Avenue",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "74012",
            "country_code": "US",
            "telephone_number": "918-508-7601",
            "fax_number": "918-508-7603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ALICIA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "5562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.