Individual provider Active NPI

Tiffany La'Shay Sparkman, FNP-BC

  • Family Nurse Practitioner
  • Towson, MD
National Provider Identifier
1700768777
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R182821 Issued in MD
Practice address
849 Fairmount Ave Ste 200
Towson, MD 21286-2693
Phone
(443) 916-0521
NPI assigned
Jul 22, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R182821 MD Primary

Addresses

Primary practice location

849 Fairmount Ave Ste 200
Towson, MD 21286-2693

Mailing address

849 Fairmount Ave Ste 200
Towson, MD 21286-2693
Phone (443) 916-0521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251002003755 MD Practitioner - Nurse Practitioner 9234635780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Painters Mill Rd
Suite 206
Owings Mills, MD 21117-5251

203 Romancoke Rd
Suite 70
Stevensville, MD 21666-2678

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary NP Associates Family CurrentSince Aug 4, 2025 Accepting new patients
Integrated Healthcare Solutions PastSince Sep 21, 2024 Accepting new patients

Locations

110 Painters Mill Rd
Ste 206
Owings Mills, MD 21117
Phone (410) 356-4680

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1700768777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 FAIRMOUNT AVE STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862693",
            "telephone_number": "443-916-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 FAIRMOUNT AVE STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862693",
            "telephone_number": "443-916-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKMAN",
        "first_name": "TIFFANY",
        "middle_name": "LA'SHAY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R182821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.