Sparks

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SPARKS

Practice address

677 Grasmere St
Winterville, NC 28590-9669

Phone

(252) 320-2859

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Jessica Ward

Title

Coo

Phone

(252) 320-2859

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1982989158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 GRASMERE ST",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 GRASMERE ST",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909669",
            "telephone_number": "252-320-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "252-320-2859"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Winterville, NC
• Providers in Winterville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.