Allie Sparks, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26665 Issued in TN

Practice address

2505 College Ave
Conway, AR 72034

Phone

(501) 327-6000

Fax

(501) 450-7559

NPI assigned

Oct 16, 2019

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Conway Childrens Clinic PA Corp

  dba Greenbrier Childrens Clinic

  • Rural Health Clinic/Center
  • Greenbrier, AR
  • NPI 1003189606
  NPD (past)
• Conway Childrens Clinic PA Corp

  • Pediatrics Physician
  • Conway, AR
  • NPI 1033170261
  NPD (past)
• Stellar Medical Services, LLC

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1316433238
  NPD (past)
• Stellartherapy Services, LLC

  • Speech-Language Pathologist
  • Chattanooga, TN
  • NPI 1205041811
  NPD (past)

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1760024269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-6000",
            "fax_number": "501-450-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-6000",
            "fax_number": "501-450-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ALLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "26665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN HEALTH LICENSE",
            "identifier": "26665",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Caregivers of Conway
• Kaitlyn Beth Sovulewski
• Kelli Sowers, SLP
• Tressie Elizabeth Spadoni
• Shannon D Spainhour, OTR
• Viktoria Sparlin, RECOVERY ASSISTANT
• Brittney Cheyenne Spaunhorst
• Rebecca Lynn Spearman, DDS
• Brooklyn McKenna May Spearmon, LAC
• Elizabeth Catherine Speck

• Nurse Practitioner in Conway, AR
• Providers in Conway, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.