Active NPI
Laura Sparks, NP
- Family Nurse Practitioner
- Hanover, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71005027
- Practice address
- 4152 West State Road 56
Hanover, IN 47243 - Phone
- (812) 762-4510
- NPI assigned
- Aug 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71005027 | IN | Primary |
Addresses
Primary practice location
4152 West State Road 56
Hanover, IN 47243
Mailing address
PO Box 1258
Waynesboro, TN 38485-1258
Phone (931) 253-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140911000305 | IN | Practitioner - Nurse Practitioner | 9032338728 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
1202 E Tipton St
Seymour, IN 47274-3540
Phone (812) 672-4933
1312 E Hackberry St
Salem, IN 47167-9604
Phone (931) 253-1110
4152 W State Rd
Hanover, IN 47243-9070
Phone (901) 351-1791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005027 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Clark Physician Practices, LLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| FC Indiana, LLC | Current | Accepting new patients | |
| FC Indiana, LLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Calcasieu Urgent Care LLC | Past | Accepting new patients |
Locations
2418 16th St
Bedford, IN 47421
Phone (812) 278-3154
11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700
2205 Greentree N
Clarksville, IN 47129
Phone (812) 218-6560
1159 W Jefferson St
Ste 204
Franklin, IN 46131
4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510
301 Gordon Gutmann Blvd
Ste 101
Jeffersonville, IN 47130
Phone (812) 282-4844
207 Sparks Ave
Ste 301
Jeffersonvlle, IN 47130
Phone (812) 280-5894
1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923
207 Sparks Ave
Ste 300
Jeffersonvlle, IN 47130
Phone (812) 218-7978
130 Hunter Station Way
Sellersburg, IN 47172
Phone (812) 246-4808
Organizations & group practices 21
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.
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Rural Health Clinic/Center
- Tell City, IN
- NPI 1982362299
-
- Urgent Care Clinic/Center
- Lincoln, AL
- NPI 1023773322
-
- Rural Health Clinic/Center
- Jackson, AL
- NPI 1033890132
-
- Rural Health Clinic/Center
- Lincoln, AL
- NPI 1043975345
-
- Rural Health Clinic/Center
- Sylacauga, AL
- NPI 1043975402
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Rural Health Clinic/Center
- Clanton, AL
- NPI 1215761341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1972912376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1258",
"city": "WAYNESBORO",
"state": "TN",
"postal_code": "384851258",
"telephone_number": "931-253-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4152 WEST STATE ROAD 56",
"city": "HANOVER",
"state": "IN",
"postal_code": "47243",
"telephone_number": "812-762-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "LAURA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71005027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.