Active NPI
Mind Y Sparker Co
- Developmental Therapist
- Eastpoint, FL
National Provider Identifier
1609359736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Legal business name
- MIND Y SPARKER CO
- Practice address
- 443 Boatwright Dr
Eastpoint, FL 32328-3445 - Phone
- (772) 559-1971
- NPI assigned
- Sep 14, 2018
- Last updated
- Sep 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mindy Parker
- Title
- Owner
- Phone
- (772) 559-1971
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
443 Boatwright Dr
Eastpoint, FL 32328-3445
Mailing address
443 Boatwright Dr
Eastpoint, FL 32328-3445
Phone (772) 559-1971
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536883200000",
"number": "1609359736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 BOATWRIGHT DR",
"city": "EASTPOINT",
"state": "FL",
"postal_code": "323283445",
"telephone_number": "772-559-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 BOATWRIGHT DR",
"city": "EASTPOINT",
"state": "FL",
"postal_code": "323283445",
"telephone_number": "772-559-1971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND Y SPARKER CO",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "MINDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-559-1971"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastpoint, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.