NPIMap

Organization Active NPI

Sparks Medical Consulting LLC

  • Clinic/Center
  • Moore, OK
National Provider Identifier
1891317731
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPARKS MEDICAL CONSULTING LLC
Practice address
1604 SW 38TH St
Moore, OK 73160-2953
Phone
(405) 659-5525
Fax
(800) 396-6706
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Audrianna Sparks, APRNNPI 1245766294
Title
Owner/Provider
Phone
(405) 659-5525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1604 SW 38TH St
Moore, OK 73160-2953

Mailing address

1604 SW 38TH St
Moore, OK 73160-2953
Phone (405) 659-5525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1891317731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 SW 38TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602953",
            "telephone_number": "405-659-5525",
            "fax_number": "800-396-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SW 38TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602953",
            "telephone_number": "405-659-5525",
            "fax_number": "800-396-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS MEDICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "AUDRIANNA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "405-659-5525",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.