SANDRA HAMPTON SPARKS NP-C NPI 1013419225

NPI Information

NPI: 1013419225
Provider Name: SANDRA HAMPTON SPARKS, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

PECOS Registration: Yes

Address:
310 N STATE OF FRANKLIN RD STE 400
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 979-6000
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Sandra Hampton Sparks, NP-C is a family nurse practitioner in Johnson City, TN with 7 years of experience. Sandra Hampton Sparks, NP-C NPI is 1013419225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

310 N STATE OF FRANKLIN RD STE 400
JOHNSON CITY, TN
ZIP 37604-051
Phone: (423) 979-6000
Fax: (423) 979-6011

The NPI 1013419225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/3/2018 and was last updated on 11/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F02180713	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	24122	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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