Kansas N Sparks, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS14539 Issued in FL

Practice address

2702 Apalachee Pkwy
Tallahassee, FL 32301-3636

Phone

(850) 755-9252

Fax

(850) 546-6278

NPI assigned

May 19, 2015

Last updated

Apr 24, 2024By 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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1881073211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 APALACHEE PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013636",
            "telephone_number": "850-755-9252",
            "fax_number": "850-546-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 APALACHEE PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013636",
            "telephone_number": "850-755-9252",
            "fax_number": "850-546-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "KANSAS",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2024-04-24",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southland Select Hospitalist Group, LLC
• Saungaylia Southward-Randolph, PT
• Thomas Graham Sowell, APRN
• SP Medical Services-Florida PA
• Aniyah Sparks, B.S., RBT
• Susan Speake, RN, BS
• Elizabeth Spear, MT-BC
• Emily R Spear, APRN
• Maximilian Danger Spearman
• Special Dental of Florida PLLC

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.