TIFFANY SPARKS (NPI# 1770070872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770070872 |
| Entity Type | Individual |
| Full Name | TIFFANY SPARKS |
| Practice Address |
4170 16th St Ecorse MI 48229-1239 |
| Practice Telephone | 2489303374 |
| Mailing Telephone | 2489303374 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703110615 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770077885 | Tiffany Sparks | Nurse Practitioner | 201 Sivley Rd Sw Ste 400, Huntsville, AL 35801-5177 | 2018-06-21 |
| 1376761007 | Tiffany Olivia Sparks | Psychiatry & Neurology | 3200 Maccorkle Ave Se, Wvu Behavioral Medicine, Clinical Teaching Center, Charleston, WV 25304-1227 | 2007-04-20 |
| Street Address |
4170 16TH ST |
| City | ECORSE |
| State | MI |
| Zip Code | 48229-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588107171 | Devoted Transportation Inc. | Non-emergency Medical Transport (VAN) | 3865 W Jefferson Ave, Ecorse, MI 48229 | 2016-11-30 |
| 1093187577 | Orchard Afc | Custodial Care Facility | 73 Orchard Street, Ecorse, MI 48229 | 2015-10-23 |
| 1780060434 | Jason John Hawkins | Home Health Aide | 18 E Glenwood, Ecorse, MI 48229 | 2015-08-05 |
| 1871866475 | Positive Images | Substance Abuse Rehabilitation Facility | 13336 E.warren, Detroit, MI 48229 | 2012-02-14 |
| 1508964255 | Dean's Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4328 7th Street, 4329 7th Street, Ecorse, MI 48229 | 2006-09-20 |
| 1023124120 | Downriver Industrial Clinic PC | Chiropractor | 4005 W Jefferson Avenue, Ecorse, MI 48229 | 2006-08-22 |
| 1780021147 | Susan Ann Barnes | Registered Nurse | 4488 1st St, Ecorse, MI 48229-1027 | 2013-05-25 |
| 1033267265 | Christine Anne Miller | Specialist/Technologist | 4267 6th St, Ecorse, MI 48229-1109 | 2007-01-05 |
| 1417476151 | Jacquelyn Clemons | Student in an Organized Health Care Education/Training Program | 4300 6th St, Ecorse, MI 48229-1110 | 2017-09-13 |
| 1487180980 | Nolan Grey Home Care Agency and Resource Center | In Home Supportive Care | 4119 19th St, Ecorse, MI 48229-1244 | 2017-05-04 |
| Find all providers in zip 48229 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434063 | Diane Lofton | Licensed Practical Nurse | 3956 17th St, Ecorse, MI 48229-1310 | 2018-04-09 |
| 1831543404 | Ronnesha Freeman | Licensed Practical Nurse | 57 W Broadway St, Ecorse, MI 48229-1565 | 2016-04-19 |
| 1689055410 | Kieara Wright | Licensed Practical Nurse | 4218 High St, Ecorse, MI 48229-1514 | 2015-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1053911719 | Margaret Theresa Fry | Licensed Practical Nurse | 4929 Cedarview St Apt 2c, Ypsilanti, MI 48197-5029 | 2020-10-30 |
| 1821697095 | Andrew Onyemaechi Onyeanula | Licensed Practical Nurse | 8281 Woodcrest Dr Apt 2, Westland, MI 48185-1238 | 2020-10-20 |
| 1255948121 | Nikki Leonard | Licensed Practical Nurse | 806 Chartier, Marine City, MI 48039-2319 | 2020-09-25 |
| 1235746033 | Roberta A Thomas | Licensed Practical Nurse | 399 S Union St Apt 15, Sparta, MI 49345-1534 | 2020-09-25 |
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TIFFANY 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.