SUSAN SPARKS (NPI# 1386839892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386839892 |
| Entity Type | Individual |
| Full Name | SUSAN SPARKS |
| Credential | RN |
| Practice Address |
516 Nizhoni Blvd Gallup NM 87301-5748 |
| Mailing Address |
Po Box 1337 Gallup NM 87305-1337 |
| Practice Telephone | 5057221000 |
| Practice Fax Number | 5057221310 |
| Mailing Telephone | 5057221000 |
| Mailing Fax Number | 5057221310 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN2222072 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477861565 | Susan Sparks | Occupational Therapist | 5211 79th St, Lubbock, TX 79424-2832 | 2010-09-22 |
| 1275994543 | Susan Sparks | Social Worker | 8500 N Knoxville Ave, Peoria, IL 61615-2079 | 2016-03-15 |
| 1598079618 | Susan Sparks | Radiologic Technologist | 31 E Butler Ave, Ambler, PA 19002-4513 | 2010-07-30 |
| 1306066055 | Susan Lorraine Sparks | Contractor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2007-04-26 |
| 1184786816 | Susan Sparks | Speech-Language Pathologist | 402 91st Ave Ne, Everett, WA 98205-1530 | 2006-12-16 |
| 1881798445 | Susan Sparks | Medical Genetics | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2006-09-12 |
| 1033179171 | Susan Wilkes Sparks | Specialist | 2228 Starling St, Brunswick, GA 31520-4200 | 2006-03-24 |
| 1003892183 | Susan M Sparks | Physical Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2005-12-20 |
| Street Address |
516 NIZHONI BLVD |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670861 | Michael Davis | Optometrist | 516 Nizhoni Blvd, Department 18, Gallup, NM 87301-5748 | 2005-06-22 |
| 1083161509 | Denice Bobelu | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301 | 2016-09-01 |
| 1730438912 | Natasha Renee Sellers | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-1337 | 2012-09-05 |
| 1003184201 | Nancy Davis | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-12-02 |
| 1760788012 | Diana D Chavez | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-02-03 |
| 1649576232 | Linda Lovell | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-31 |
| 1871898692 | Patricia Bialach | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-26 |
| 1861797052 | Elizabeth A Verostko | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-19 |
| 1457656191 | Lisa Marie Shaurette | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-11 |
| 1003110537 | Sally Catherine Kaufman | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2010-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497245146 | Stephenie Nicole Thomas | Registered Nurse | Gallup Indian Medical Center, 516 E. Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-05-17 |
| 1013251842 | Vicky Gail Dowdy | Registered Nurse | 3197 Blue Hill Ave, Gallup, NM 87301-6969 | 2012-11-16 |
| 1780283416 | John Robert Sherwood | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-23 |
| 1366041006 | Tracy Michelle Sherwood | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-23 |
| 1679188676 | Jordan Ashley Ide | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-09-15 |
| 1669085957 | Mary Eloise Martin | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-08-26 |
| 1407468804 | Lori Ann Howard | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-08-18 |
| 1306464284 | Lavada King | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-07-08 |
| 1184242133 | Mary Elizabeth Bange | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-07-07 |
| 1952928806 | Gabrielle Ariana Charleston | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-06-26 |
| Find all providers in GALLUP | ||||
Please comment or provide details below to improve the information on SUSAN SPARKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.