Active NPI
Kristina Marie Sparks, CRNA
- Certified Registered Nurse Anesthetist
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 368794-4406
- Practice address
- 110 S 9TH Ave
Yakima, WA 98902 - Phone
- (509) 573-3448
- Fax
- (509) 574-4481
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 368794-4406 | UT | Primary |
Addresses
Primary practice location
110 S 9TH Ave
Yakima, WA 98902
Mailing address
6764 S 950 E
Midvale, UT 84047-5000
Phone (801) 560-4655
Other practice location 1
110 S 9th Ave
Yakima, WA 98902-3315
Phone (509) 573-3448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.45 of 100
- Quality
- 47.08
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Yakima Hma Physician Management LLC | Past | Accepting new patients |
Locations
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1871689562
-
- Gastroenterology Physician
- Bountiful, UT
- NPI 1457393761
-
- Family Medicine Physician
- Yakima, WA
- NPI 1730139510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1790931665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6764 S 950 E",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840475000",
"telephone_number": "801-560-4655",
"fax_number": "801-944-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S 9TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-573-3448",
"fax_number": "509-574-4481"
}
],
"practiceLocations": [
{
"address_1": "110 S 9th Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023315",
"country_code": "US",
"telephone_number": "509-573-3448",
"fax_number": "509-574-4481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARKS",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "368794-4406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.