Shanice S Sparks

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6777 Rasberry LN Apt 2021
Shreveport, LA 71129

Phone

(318) 393-5249

NPI assigned

Aug 19, 2016

Last updated

May 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1619422664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 MIDWAY ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711082339",
            "telephone_number": "318-393-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 RASBERRY LN APT 2021",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71129",
            "telephone_number": "318-393-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "SHANICE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southside Foot Clinic of Shreveport, Inc. a Professional Corporation (Southside Foot Clinic)
• Skylar Amanda Souyoul, M.D.
• Kevin Thomas Sowell, PHYSICAL THERAPIST
• Alison Smith Spann, MD
• Marilyn Sparks
• Stacey D Sparks, MD
• Sparrow Medical Group
• David Dale Spaulding, DO
• Donald Ray Spearman
• Shelia Spearman

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.