Individual provider Active NPI

Linda Sparks, ARNP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1790794717
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4196P Issued in KY
Practice address
5502 Saxon Blvd
Louisville, KY 40219
Phone
(502) 966-0327
Fax
(502) 966-0327
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 1053426 KY
Nurse Practitioner 363L00000X 4196P KY Primary

Addresses

Primary practice location

5502 Saxon Blvd
Louisville, KY 40219

Mailing address

5502 Saxon Blvd
Louisville, KY 40219
Phone (502) 966-0327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1053426KYMDEmergency Registered Nurse
4196PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physician Associates Past Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Past Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients
Cpo PSC PastSince Jul 1, 1999 Accepting new patients
Kentuckiana Emergency Physicians, PLLC Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1790794717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 SAXON BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40219",
            "telephone_number": "502-966-0327",
            "fax_number": "502-966-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 SAXON BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40219",
            "telephone_number": "502-966-0327",
            "fax_number": "502-966-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "LINDA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "KY",
            "license": "1053426",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4196P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.