ASPARKLE INCLUSIVE CARE, LLC (NPI# 1679101190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679101190 |
| Entity Type | Organization |
| Organization Name | ASPARKLE INCLUSIVE CARE, LLC |
| Practice Address |
1204 N Houston Levee Rd Ste 115 Cordova TN 38018-6687 |
| Mailing Address |
1750 Lichfield Ct Cordova TN 38016-3561 |
| Practice Telephone | 9018001037 |
| Practice Fax Number | 8776692745 |
| Mailing Telephone | 9018001037 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | MS. HORTENSE K BISSILA (PMHNP- PROVIDER) |
| Authorized Official Telephone | 9018001037 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1204 N HOUSTON LEVEE RD STE 115 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-6687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992338719 | Derrick Meadow | Nurse Practitioner | 8130 Country Village Dr Ste 103, Cordova, TN 38016-2087 | 2020-02-20 |
| 1538627781 | Hortense K Bissila | Nurse Practitioner | 1750 Lichfield Ct, Cordova, TN 38016-3561 | 2019-03-06 |
| 1982154936 | Kristin Kathleen Stewart | Nurse Practitioner | 154 Timber Creek Dr Ste 2, Cordova, TN 38018-4252 | 2016-10-13 |
| 1376658062 | Lisa Drewry Williams | Nurse Practitioner | 8316 Macon Ter, Ste 103, Cordova, TN 38018-8505 | 2006-08-20 |
| 1942315627 | Richard Dean Sykes | Nurse Practitioner | 8289 Cordova Rd Ste 106, Cordova, TN 38016-2090 | 2006-08-20 |
| 1558394395 | Kimberly Hatler | Nurse Practitioner | 1660 Bonnie Ln, Suite 105, Cordova, TN 38016-0518 | 2006-07-07 |
| 1164417127 | Mark Allen Hesselrode | Nurse Practitioner | 8289 Cordova Rd #106, Cordova, TN 38016 | 2005-09-15 |
| 1558960310 | Emily Pecaitis | Nurse Practitioner | 8336 Macon Rd, Cordova, TN 38018-8554 | 2020-10-22 |
| 1114565538 | Lashandra Nicole Saulsberry | Nurse Practitioner | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-12-16 |
| 1083269401 | Kendra Powers Hooper | Nurse Practitioner | 8336 Macon Rd, Cordova, TN 38018-8554 | 2019-08-02 |
| Find all providers in CORDOVA | ||||
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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.