KEELY SPARKS APRN NPI 1831721059

NPI Information

  • NPI: 1831721059
  • Provider Name: KEELY SPARKS, APRN
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10100 KANIS RD
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 255-6000

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NPI Details

Keely Sparks, APRN is a gerontology nurse practitioner in Little Rock, AR with 6 years of experience. Keely Sparks, APRN NPI is 1831721059. 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:

10100 KANIS RD
LITTLE ROCK, AR
ZIP 72205-202
Phone: (501) 255-6000
Fax: (501) 255-6400

The NPI 1831721059 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 2/5/2020 and was last updated on 3/18/2020.

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
1363LG0600XNurse PractitionerGerontology123828ARKANSASYes

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: 3/30/2025

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