CHELSEY JOHNSON SPARKS APRN-BC NPI 1295008795

NPI Information

NPI: 1295008795
Provider Name: CHELSEY JOHNSON SPARKS, APRN-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE

PECOS Registration: Yes

CLIA Number: 44D0315614

Address:
187 W MAIN ST
DECATURVILLE, TN
ZIP 38329
Phone: (731) 852-2761
Get Directions

Chelsey Johnson Sparks, APRN-BC is a family nurse practitioner in Decaturville, TN with 13 years of experience. Chelsey Johnson Sparks, APRN-BC NPI is 1295008795. 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:

187 W MAIN ST
DECATURVILLE, TN
ZIP 38329-078
Phone: (731) 852-2761
Fax: (731) 852-2781

The NPI 1295008795 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 CLIA number assigned to this NPI record is 44D0315614 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/14/2012 and was last updated on 7/10/2020.

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	16496	TENNESSEE	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	1528159	MEDICAID	TENNESSEE

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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