Organization Active NPI

Asparkle Inclusive Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1679101190
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ASPARKLE INCLUSIVE CARE
Practice address
8225 Rockcreek Pkwy
Cordova, TN 38016-4594
Phone
(901) 800-1037
Fax
(877) 669-2745
NPI assigned
Mar 30, 2020
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Ms. Hortense K Bissila, APRNNPI 1538627781
Title
Pmhnp- Provider
Phone
(901) 800-1037

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8225 Rockcreek Pkwy
Cordova, TN 38016-4594

Mailing address

1750 Lichfield CT
Cordova, TN 38016-3561
Phone (901) 800-1037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AZ, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200811000961 TN Part B Supplier - Clinic/Group Practice 7416372297 Receives reassigned benefits from 2 practitioners
Practice locations: Cordova, TN
O20230210000284 AZ Part B Supplier - Clinic/Group Practice 7416372297 Receives reassigned benefits from 1 practitioner
Practice locations: Tempe, AZ
O20230612001427 AR Part B Supplier - Clinic/Group Practice 7416372297 Receives reassigned benefits from 1 practitioner
Practice locations: De Witt, AR

National Provider Directory

National Provider Directory

Locations

1204 N Houston Levee Rd
Ste 115
Cordova, TN 38018
Phone (901) 800-1037

8225 Rockcreek Pkwy
Cordova, TN 38016
Phone (901) 800-1037

Practitioners & affiliated clinicians

Practitioners 2

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": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1679101190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 LICHFIELD CT",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380163561",
            "telephone_number": "901-800-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 ROCKCREEK PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164594",
            "telephone_number": "901-800-1037",
            "fax_number": "877-669-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPARKLE INCLUSIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "BISSILA",
        "authorized_official_first_name": "HORTENSE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PMHNP- PROVIDER",
        "authorized_official_telephone_number": "901-800-1037",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.