SIDNEY SPARKS FNP NPI 1437698321

NPI Information

  • NPI: 1437698321
  • Provider Name: SIDNEY SPARKS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2011 2ND ST
    RICHLANDS, VA
    ZIP 24641
  • Phone: (276) 345-9900

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NPI Details

Sidney Sparks, FNP is a family nurse practitioner in Richlands, VA with 10 years of experience. Sidney Sparks, FNP NPI is 1437698321. 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:2016

The provider's business location address is:

2011 2ND ST
RICHLANDS, VA
ZIP 24641-305
Phone: (276) 345-9900

The NPI 1437698321 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 2/13/2017 and was last updated on 1/25/2023.

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
1363LF0000XNurse PractitionerFamily0024174530VIRGINIANo
2363LP2300XNurse PractitionerPrimary Care22225TENNESSEENo
3363LF0000XNurse PractitionerFamily22225TENNESSEEYes

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
11437698321MEDICAIDVIRGINIA

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: 11/21/2025

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