TABETHA ANN SPARKS (NPI# 1619302858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619302858 |
Entity Type | Individual |
Full Name | TABETHA ANN SPARKS |
Credential | APN |
Practice Address |
110 Hospital Dr Jefferson City TN 37760-5281 |
Practice Telephone | 8654712500 |
Mailing Telephone | 8654712500 |
Enumeration Date | 2013-09-06 |
Last Update Date | 2017-04-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17839 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
110 HOSPITAL DR |
City | JEFFERSON CITY |
State | TN |
Zip Code | 37760-5281 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952724403 | Russell Walters | Physician Assistant | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2014-02-03 |
1912249814 | Joshua Porter | Emergency Medicine | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2013-03-19 |
1205152105 | Richard Baird | Emergency Medicine | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2010-04-16 |
1891022026 | Nancy Samsel Walker | Registered Nurse | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2009-11-09 |
1306036926 | Ashlea Brooke Daniel | Nurse Practitioner | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2007-07-30 |
1831247519 | Tennessee Cancer Specialists Pllc | Internal Medicine | 110 Hospital Dr, St Mary's Jefferson Memorial Hospital, Jefferson City, TN 37760-5281 | 2007-01-08 |
1760530927 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 110 Hospital Dr, Suite G50, Jefferson City, TN 37760-5281 | 2007-01-06 |
1700981271 | Nathan Roger Gilbert | Emergency Medicine | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2006-09-13 |
1053354068 | John W. Burckle | Physician Assistant | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2006-06-14 |
1114960101 | Justin B. Mcgoldrick | Emergency Medicine | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2006-06-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
Find all providers in zip 37760 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780211169 | Claire Luetkemeyer | Nurse Practitioner | 213 Michelle Dr, Jefferson City, MO 65109-0135 | 2020-03-25 |
1386104818 | Renee Jean Scherr | Nurse Practitioner | 8200 No More Victims Rd, Jefferson City, MO 65101-4539 | 2019-03-21 |
1366912362 | Julia Ann Babin | Nurse Practitioner | 1620 Bald Hill Rd, Jefferson City, MO 65101-3804 | 2018-12-03 |
1033688924 | Sara Marso | Nurse Practitioner | 2511 W Edgewood Dr Ste D, Jefferson City, MO 65109-5869 | 2018-11-20 |
1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
1871897405 | Sarah Elizabeth Hyman | Nurse Practitioner | 3501a W Truman Blvd, Jefferson City, MO 65109-5715 | 2010-12-22 |
1164735221 | Kimberly F Shelton | Nurse Practitioner | 1004 N Highway 92 Ste B, Jefferson City, TN 37760-3687 | 2010-07-19 |
1235338252 | Sheila Ann Olsen | Nurse Practitioner | 806 Navajo Dr, Jefferson City, TN 37760-5122 | 2007-07-11 |
1225013907 | Sharon Mcanear | Nurse Practitioner | 1646 Russell Ave, Carson-newman College, Jefferson City, TN 37760-2204 | 2005-12-14 |
1114909538 | Betty Jo Ellington | Nurse Practitioner | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2005-11-20 |
Find all providers in JEFFERSON CITY |
City | JEFFERSON CITY |
Zip Code | 37760 |
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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.