TONI SPARKS DNP NPI 1356454839

NPI Information

NPI: 1356454839
Provider Name: TONI SPARKS, DNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MIDVALLEY HEALTHCARE PLLC

PECOS Registration: Yes

Address:
1111 S ORCHARD ST
SUITE 155
BOISE, ID
ZIP 83705
Phone: (208) 333-0103
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Toni Sparks, DNP is a family nurse practitioner in Boise, ID with 32 years of experience. Toni Sparks, DNP NPI is 1356454839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 S ORCHARD ST
SUITE 155
BOISE, ID
ZIP 83705-966
Phone: (208) 333-0103
Fax: (208) 333-0105

The NPI 1356454839 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 8/17/2006 and was last updated on 10/12/2016.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NP-458A	IDAHO	No
2	363LF0000X	Nurse Practitioner	Family	NP458A	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1356454839	OTHER		NPI
2	1356454839	OTHER	IDAHO	NPI
3	1342948	OTHER	IDAHO	MEDICARE
4	P12967	MEDICARE UPIN	IDAHO

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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