Kelly Sparkman, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

594189 Issued in TX

Practice address

2750 S 8TH St
Beaumont, TX 77701-7719

Phone

(409) 839-1032

Fax

(409) 839-1069

NPI assigned

Dec 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spindletop MHMR ServicesGroup PAC ID 1658268321, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Spindletop MHMR Services

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1952357550
  Medicare reassignment Care Compare group NPD
• Spindletop MHMR Services

  • Mental Health Counselor
  • Beaumont, TX
  • NPI 1467517656
  NPD

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1972934313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S 8TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777017719",
            "telephone_number": "409-839-2227",
            "fax_number": "409-839-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S 8TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777017719",
            "telephone_number": "409-839-1032",
            "fax_number": "409-839-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKMAN",
        "first_name": "KELLY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "594189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Anesthetics, PLLC
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• Southern Star EMS Inc
• Katelynn Sparkman
• Specialized Pharmacy Services, Inc.
• Cheryl Spell, FNP
• Michael K Spell, APRN-BC
• Gynises Nicole Spencer, LPC
• Shewana Spencer, NP

• Psychiatric/Mental Health Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.

Verify at the official NPI Registry.