KELLY SPARKMAN


Address: 2750 S 8th St, Beaumont, TX 77701-7719
Phone: 4098391032

KELLY SPARKMAN (NPI# 1972934313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2750 S 8TH ST
City BEAUMONT
State TX
Zip Code 77701-7719

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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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Providers in the same zip code

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
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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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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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

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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
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Competitor

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City BEAUMONT
Zip Code 77701

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Dataset Information

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.

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