Individual provider Active NPI

Taylor Renea Sparks, APRN, FNP-C

  • Nurse Practitioner
  • Danville, KY
National Provider Identifier
1891504783
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4033627 Issued in KY
Practice address
130 Daniel Dr
Danville, KY 40422-2527
Phone
(859) 236-2222
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4033627 KY Primary

Addresses

Primary practice location

130 Daniel Dr
Danville, KY 40422-2527

Mailing address

199 Ross Rd
Lancaster, KY 40444-9728
Phone (859) 339-4802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226000448 KY Practitioner - Nurse Practitioner 7911427562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-2222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc Nurse Practitioner CurrentSince Feb 13, 2025 Accepting new patients
Ephraim McDowell Health Resource,Inc CurrentSince Feb 13, 2025 Accepting new patients
Ephraim McDowell Health Resource, Inc. Nurse Practitioner Current Accepting new patients
Ephraim McDowell Health Resource, Inc Past Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients

Locations

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

130 Daniel Dr
Danville, KY 40422
Phone (606) 236-2222

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1891504783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 ROSS RD",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404449728",
            "telephone_number": "859-339-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DANIEL DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222527",
            "telephone_number": "859-236-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "TAYLOR",
        "middle_name": "RENEA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4033627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.