Individual provider Active NPI

Tammy Sparks, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Cameron, MO
National Provider Identifier
1699215921
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017004794 Issued in MO
Practice address
921 N Walnut St
Cameron, MO 64429-1341
Phone
(816) 632-2111
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024027180 MO
Family Nurse Practitioner 363LF0000X 2017004794 MO Primary

Addresses

Primary practice location

921 N Walnut St
Cameron, MO 64429-1341

Mailing address

921 N Walnut St
Cameron, MO 64429-1341
Phone (816) 632-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170505000637 MO Practitioner - Nurse Practitioner 7416234174 Reassigns benefits to 1 organization
I20240626002603 TX Practitioner - Nurse Practitioner 7416234174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Cloud Health Center LLCGroup PAC ID 9830437995, 6 clinicians

Practice addresses (Care Compare)

3349 B Thrasher Rd
White Cloud, KS 66094-4005
Phone (785) 595-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2024027180MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Regional Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Cameron Regional Medical Center Inc Current Accepting new patients
White Cloud Health Center, LLC CurrentSince May 22, 2024 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients

Locations

3349B Thrasher Rd
White Cloud, KS 66094
Phone (785) 595-3450

903 N 25th St
Bethany, MO 64424
Phone (660) 425-7333

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1699215921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 N WALNUT ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644291341",
            "telephone_number": "816-632-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 N WALNUT ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644291341",
            "telephone_number": "816-632-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "TAMMY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2024027180",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017004794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, MO

Sources for this page

Verify at the official NPI Registry.