Annemarie Sparks, BS ED.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

176 Chancellor Dr
Deptford, NJ 08096-5155

Phone

(609) 670-8152

Fax

(856) 494-1495

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Locations

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.

• Olive Branch Neuro Therapy

  • Occupational Therapist
  • Deptford, NJ
  • NPI 1386342335

  In Home Supportive Care

  NPD Authorized official

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1902273501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PARKVILLE STATION ROAD",
            "address_2": "PMB 133",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511621",
            "telephone_number": "609-670-8152",
            "fax_number": "856-494-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 CHANCELLOR DR",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080965155",
            "telephone_number": "609-670-8152",
            "fax_number": "856-494-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ANNEMARIE",
        "credential": "BS ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Shepherd
• Sara Shin, PHARMD
• Brandon Michael Sirochinsky, DDS.
• Lisa N Sleiminger, PHARMD
• Justin Southwick, PHARMACIST
• Lori Nicole Spencer, PHARMD
• Take Care Health New Jersey, P.a.
• Pankti Tamboli, DO
• The Devereux Foundation
• The Devereux Foundation

• In Home Supportive Care Agency in Deptford, NJ
• Providers in Deptford, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.