Individual provider Active NPI

Leeann Sparks, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1659866176
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-101700 Issued in AL
Practice address
910 Adams St SE Ste 200
Huntsville, AL 35801-3759
Phone
(256) 265-6512
Fax
(256) 265-6727
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-101700 AL Primary

Addresses

Primary practice location

910 Adams St SE Ste 200
Huntsville, AL 35801-3759

Mailing address

910 Adams St SE Ste 200
Huntsville, AL 35801-3759
Phone (256) 265-6512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181105000464 AL Practitioner - Nurse Practitioner 8729331020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Madison Gynecology and Wellness, PCGroup PAC ID 9436689874, 5 clinicians

Practice addresses (Care Compare)

3825 Sullivan St
Suite 2
Madison, AL 35758-3147
Phone (256) 679-2749

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-101700ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Group CurrentSince Apr 1, 2025 Accepting new patients
Madison Gynecology and Wellness, PC CurrentSince Oct 11, 2025 Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

3825 Sullivan St
Ste 2
Madison, AL 35758
Phone (256) 679-2749

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1659866176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013759",
            "telephone_number": "256-265-6512",
            "fax_number": "256-265-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013759",
            "telephone_number": "256-265-6512",
            "fax_number": "256-265-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "LEEANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-101700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.