JAYME SPARKS (NPI# 1275931222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275931222 |
| Entity Type | Individual |
| Full Name | JAYME SPARKS |
| Practice Address |
561 N Lake Dr Prestonsburg KY 41653-1278 |
| Mailing Address |
516 North Lake Drive Prestonsburg KY 41653 UM |
| Practice Telephone | 6064220883 |
| Mailing Telephone | 6062167993 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
561 N LAKE DR |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174637730 | Ronetta A. Tucker | Counselor | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2006-08-19 |
| 1356993836 | Jamie Mann | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2019-07-15 |
| 1972099109 | Danna Mills | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2018-07-11 |
| 1457837684 | Heather Michelle Salyers | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2018-07-11 |
| 1942796172 | Nickolas Bailey | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2018-07-11 |
| 1255840906 | Sandra Lee Coleman | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2017-09-26 |
| 1063884179 | Brittany Michelle Blevins | Counselor | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2015-10-28 |
| 1578951224 | Jessica Crabtree | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2015-01-05 |
| 1033549811 | Kvc | Community/Behavioral Health | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2013-11-15 |
| 1396175311 | Priscilla Patrick | Counselor | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
| 1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
| 1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
| 1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
| Find all providers in zip 41653 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757408 | Angel Morrisey | Case Manager/Care Coordinator | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-03-01 |
| 1457825036 | Lorie Ferguson | Case Manager/Care Coordinator | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-01-16 |
| 1447723242 | Christie Davis | Case Manager/Care Coordinator | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-01-04 |
| 1477020840 | Sabrina Cooley | Case Manager/Care Coordinator | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-10-24 |
| 1629545009 | Alicia Murphy | Case Manager/Care Coordinator | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-10-24 |
| 1871060269 | Donna Riggs | Case Manager/Care Coordinator | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-10-24 |
| 1730655606 | Alicia Watts | Case Manager/Care Coordinator | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-10-18 |
| 1790251650 | Kayla Terrill | Case Manager/Care Coordinator | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-10-18 |
| 1831665132 | Rita Scott | Case Manager/Care Coordinator | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-10-15 |
| 1386119089 | Kiesha Quinonez | Case Manager/Care Coordinator | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-10-09 |
| Find all providers in PRESTONSBURG | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
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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.