Individual provider Active NPI

Tiffany Sparks, CRNP

  • Family Nurse Practitioner
  • Albertville, AL
National Provider Identifier
1770077885
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-130505 Issued in AL
Practice address
5104 US Highway 431
Albertville, AL 35950-0237
Phone
(256) 878-8180
Fax
(256) 891-3693
NPI assigned
Jun 21, 2018
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-130505 AL
Family Nurse Practitioner 363LF0000X 1-130505 AL Primary

Addresses

Primary practice location

5104 US Highway 431
Albertville, AL 35950-0237

Mailing address

5104 US Highway 431
Albertville, AL 35950-0237
Phone (256) 878-8180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180822003043 AL Practitioner - Nurse Practitioner 7214286392 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Mountain Family Practice Center, P. C.Group PAC ID 7517980493, 5 clinicians

Practice addresses (Care Compare)

5104 US Hwy 431
Albertville, AL 35950-0237
Phone (256) 878-8184

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Mountain Family Practice Center, P. C. CurrentSince Jan 31, 2022 Accepting new patients
American Family Care, LLC CurrentSince Jan 4, 2021 Accepting new patients
App of Alabama Ed PLLC CurrentSince Sep 1, 2018 Accepting new patients
American Family Care, LLC CurrentSince Jan 4, 2021 Accepting new patients

Locations

5104 US Highway 431
Albertville, AL 35950
Phone (256) 878-8180

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

410 Sutton Rd SE
Owens Cross Roads, AL 35763
Phone (256) 424-4260

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19522/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tiffany.sparks.sandmountainfamilypractice@smfp.direct.systemedx.com

Organizations & group practices 4

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 3

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1770077885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500237",
            "telephone_number": "256-878-8180",
            "fax_number": "256-891-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500237",
            "telephone_number": "256-878-8180",
            "fax_number": "256-891-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "TIFFANY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-130505",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-130505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.