Lisa Marie Sparks, BRS CASE MANAGER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3331 Vandenberg Rd
Klamath Falls, OR 97603-3730

Phone

(541) 884-4167

Fax

(541) 885-6755

NPI assigned

Jun 5, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Klamath County Juvenile Department

  • Children's Substance Abuse Rehabilitation Facility
  • Klamath Falls, OR
  • NPI 1467885145
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1922590926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 VANDENBERG RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033730",
            "telephone_number": "541-884-4167",
            "fax_number": "541-885-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 VANDENBERG RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033730",
            "telephone_number": "541-884-4167",
            "fax_number": "541-885-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "BRS CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467885145",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Oregon Chiropractic - Klamath Falls
• Southern Oregon Emergency Care LLC
• David John Sowers
• Shaun C Spalding, MD
• Jennifer Dawn Sparks, O.D.
• Spectrum Orthotics and Prosthetics, Inc
• Wendy Jean Spencer, DMD
• Jonathan Michael Spicher, M.D.
• Amanda Spillane
• Vanessa Spillane, LPN

• Case Manager/Care Coordinator in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.