Active NPI
Tammy Sparks, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Cameron, MO
National Provider Identifier
1699215921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017004794
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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.
- Credentials
- Master of Science, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024027180 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Regional Medical Center, Inc. | Current | Accepting new patients | |
| Cameron Regional Medical Center Inc | Current | Accepting new patients | |
| White Cloud Health Center, LLC | Current | Accepting new patients | |
| Cameron Regional Medical Center Inc | Current | 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.
-
- General Acute Care Hospital
- Cameron, MO
- NPI 1811905375
-
- Multi-Specialty Clinic/Center
- Bethany, MO
- NPI 1033478557
-
- Rural Health Clinic/Center
- King City, MO
- NPI 1861269318
-
- Rural Health Clinic/Center
- Cameron, MO
- NPI 1003821307
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.