Active NPI
Patrice McGregor Sparks, RN
- School Registered Nurse
- Prescott Valley, AZ
National Provider Identifier
1659416394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN111736
- Practice address
- Humboldt Unified School District 22 Special Serv Office
8766 East Hwy 69
Prescott Valley, AZ 86314 - Phone
- (928) 759-4028
- Fax
- (928) 759-4030
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN111736 | AZ | Primary |
Addresses
Primary practice location
Humboldt Unified School District 22 Special Serv Office
8766 East Hwy 69
Prescott Valley, AZ 86314
Mailing address
8101 Hwy 89a
Prescott, AZ 86301
Phone (928) 759-4310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593302 | Medicaid | AZ |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN111736 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659416394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 HWY 89A",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86301",
"telephone_number": "928-759-4310",
"fax_number": "928-759-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HUMBOLDT UNIFIED SCHOOL DISTRICT 22 SPECIAL SERV OFFICE",
"address_2": "8766 EAST HWY 69",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "86314",
"telephone_number": "928-759-4028",
"fax_number": "928-759-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "PATRICE",
"middle_name": "MCGREGOR",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN111736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "593302",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
- Southwest Behavioral Health Services, Inc.
- Southwest Behavioral Health Services, Inc.
- Southwest I.D. & Medical Clinic, LC
- Southwestern Eye Center, LTD (Southwestern Eye Center - Prescott Valley Optical)
- Spark Dentistry PLLC
- Spectrum Healthcare Group, Inc.
- Clayton James Squire, RPH
- Alison A. Stambaugh, LMSW
- Lee Thomas Stamper, PHARMD
- Anthony Stanisci, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.