Individual provider Active NPI

Sharon Sparks

  • Nurse's Aide
  • Kansas City, MO
National Provider Identifier
1699105361
Registry record updated Nov 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
862118 Issued in MO
Practice address
2525 Euclid Ave
Kansas City, MO 64127-3723
Phone
(816) 921-3388
NPI assigned
Nov 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 862118 MO Primary

Addresses

Primary practice location

2525 Euclid Ave
Kansas City, MO 64127-3723

Mailing address

PO Box 270626
Kansas City, MO 64127-0626
Phone (816) 921-3388

Other identifiers 1

IdentifierTypeStateIssuer
862118OtherMONURSE AID

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

LicenseStateTypeSpecialty
862118MOMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1384646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384646400000",
    "number": "1699105361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270626",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641270626",
            "telephone_number": "816-921-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 EUCLID AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641273723",
            "telephone_number": "816-921-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-17",
        "last_updated": "2013-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MO",
            "license": "862118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE AID",
            "identifier": "862118",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2013; 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.