Sophie K Sparling, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1585 Liberty St SE
Salem, OR 97302-4345

Phone

(503) 589-0565

Fax

(503) 589-0463

NPI assigned

Sep 16, 2006

Last updated

Jul 9, 2007By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780780692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024345",
            "telephone_number": "503-589-0565",
            "fax_number": "503-589-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024345",
            "telephone_number": "503-589-0565",
            "fax_number": "503-589-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARLING",
        "first_name": "SOPHIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER FACILITY NPI",
            "identifier": "1124064506",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137534",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Sowles, PHARMD, BCACP, BCPS
• Shannon Dwayne Spahan, STUDENT COUNSELOR
• Katherine Spann, MS, RDN, LD, CDE
• Jordan Samuel Sparks, D.M.D.
• Tricia Jo Elizabeth Sparks
• Anthony Sparzo
• Christian A Speer, M.D.
• Madison Spellman, BSN
• Jarod Spencer, DPM
• Mertice Marie Spencer

• Registered Dietitian in Salem, OR
• Providers in Salem, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.