KELLY SPARKMAN (NPI# 1972934313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972934313 |
Entity Type | Individual |
Full Name | KELLY SPARKMAN |
Credential | PMHNP |
Practice Address |
2750 S 8th St Beaumont TX 77701-7719 |
Practice Telephone | 4098391032 |
Practice Fax Number | 4098391069 |
Mailing Telephone | 4098392227 |
Mailing Fax Number | 4098391069 |
Enumeration Date | 2013-12-11 |
Last Update Date | 2014-09-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
594189 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2750 S 8TH ST |
City | BEAUMONT |
State | TX |
Zip Code | 77701-7719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952357550 | Spindletop Mhmr Services | Case Management | 2750 S 8th St, Beaumont, TX 77701-7719 | 2006-05-25 |
1477179539 | Amber Marcia Woods | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2020-06-24 |
1831736198 | Krystal Michelle Laday | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2019-12-05 |
1942859962 | Clancie Calais Grant | Pharmacist | 2750 S 8th St, Beaumont, TX 77701-7719 | 2019-09-11 |
1285281279 | Patrick Donell Harris | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2019-08-23 |
1790330215 | Melba T. Hilliard | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2019-08-02 |
1538723317 | Michelle Lynn Thiel | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2019-04-26 |
1518452168 | Morgan G. Laird | Speech-Language Pathologist | 2750 S 8th St, Beaumont, TX 77701 | 2018-06-26 |
1700382405 | Obetta Milo | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2018-04-02 |
1578079455 | Daphne Dione Jones | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2017-12-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
1154833135 | Shannon Denard | Naturopath | 1595 S. M.l. King Jr. Parkway, Beaumont, TX 77701 | 2017-10-30 |
1558818096 | Kelli North | Nurse Practitioner | 810 Hospital Dr Ste. 235, Beaumont, TX 77701 | 2016-09-01 |
1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
1831584663 | H-e-b, Lp | Clinical Medical Laboratory | 3590 College Street, Beaumont, TX 77701 | 2015-03-30 |
1205272648 | Yalanda S Jessie | Counselor | 755 S 11th St Ste 246, Beaumont, TX 77701 | 2013-05-13 |
1871856443 | Henry Clay Williams | Day Training, Developmentally Disabled Services | 2316 Orange St., Beaumont, TX 77701 | 2012-06-19 |
1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
Find all providers in zip 77701 |
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 |
---|---|---|---|---|
1760969562 | Chrystanya A Adeniji | Nurse Practitioner | 514 N California Ave Ste 18, Beaumont, CA 92223-2120 | 2018-07-24 |
1295238632 | Melissa Lyn Tortorice | Nurse Practitioner | 3560 Delaware St Ste 502, Beaumont, TX 77706-3061 | 2018-03-12 |
1427334374 | Jt Seaman | Nurse Practitioner | 7090 Prutzman Rd, # 22, Beaumont, TX 77706-5823 | 2011-10-24 |
1548889116 | Bridgett Fisk | Nurse Practitioner | 3560 Delaware St Ste 207, Beaumont, TX 77706-3059 | 2020-04-13 |
1780931154 | Bethanne Fondren Carson | Nurse Practitioner | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2012-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
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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.