Individual provider Active NPI

Jessica Sparks, APRN

  • Family Nurse Practitioner
  • Frenchburg, KY
National Provider Identifier
1760059497
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015405 Issued in KY
Practice address
784 Highway 36
Frenchburg, KY 40322-8123
Phone
(606) 768-9190
Fax
(606) 768-9180
NPI assigned
Jun 10, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 3015405 KY Primary

Addresses

Primary practice location

784 Highway 36
Frenchburg, KY 40322-8123

Mailing address

784 Highway 36
Frenchburg, KY 40322-8123
Phone (606) 768-9190

Other practice location 1

17 Miller Dr
Owingsville, KY 40360-2212
Phone (606) 674-3033

Other practice location 2

125 Foxglove Dr Ste D
MT Sterling, KY 40353-9735
Phone (859) 498-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210708003580 KY Practitioner - Nurse Practitioner 8628470937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Family Care LLCGroup PAC ID 5890101471, 12 clinicians

Practice addresses (Care Compare)

125 Foxglove Dr
Suite B
Mount Sterling, KY 40353-9735
Phone (859) 520-9292

638 E College Ave
Suite B
Stanton, KY 40380-2363
Phone (606) 318-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Addiction Recovery LLC CurrentSince Feb 1, 2024 Accepting new patients
Community Family Clinic PLLC Family Current Accepting new patients
Community Family Clinic PLLC Family Current Accepting new patients
Community Family Clinic PLLC CurrentSince Jul 1, 2021 Accepting new patients
Montgomery Family Care LLC CurrentSince Jul 1, 2021 Accepting new patients
Casa San Pio Clinics of Appalachia, LLC CurrentSince Aug 27, 2021 Accepting new patients

Locations

784 Highway 36
Frenchburg, KY 40322
Phone (606) 768-9190

125 Foxglove Dr
Ste B
Mt Sterling, KY 40353
Phone (859) 432-5641

125 Foxglove Dr
Ste D
Mt Sterling, KY 40353
Phone (859) 498-3333

17 Miller Dr
Owingsville, KY 40360
Phone (606) 674-3033

638 E College Ave
#B
Stanton, KY 40380
Phone (606) 318-3500

Interoperability endpoints

  • Direct secure messaging: jessica.sparks@commfam.eclinicaldirectplus.com

Organizations & group practices 6

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 1

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1760059497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-9190",
            "fax_number": "606-768-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-9190",
            "fax_number": "606-768-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Miller Dr",
            "address_purpose": "LOCATION",
            "city": "Owingsville",
            "state": "KY",
            "postal_code": "403602212",
            "country_code": "US",
            "telephone_number": "606-674-3033",
            "fax_number": "606-674-3036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Foxglove Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "KY",
            "postal_code": "403539735",
            "country_code": "US",
            "telephone_number": "859-498-3333",
            "fax_number": "859-498-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frenchburg, KY

Sources for this page

Verify at the official NPI Registry.