Active NPI
Stephanie Lorraine Sparks
- Homemaker
- Dayton, OH
National Provider Identifier
1689537573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- UM206407
- Practice address
- 4655 Croftshire Dr
Dayton, OH 45440-1704 - Phone
- (937) 956-4464
- NPI assigned
- Dec 8, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | UM206407 | OH | Primary |
Addresses
Primary practice location
4655 Croftshire Dr
Dayton, OH 45440-1704
Mailing address
4606 Croftshire Dr
Dayton, OH 45440-1705
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UM206407 | OH | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1689537573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 CROFTSHIRE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454401705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4655 CROFTSHIRE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454401704",
"telephone_number": "937-956-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "STEPHANIE",
"middle_name": "LORRAINE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "UM206407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.