SPARKMAN BEHAVIORAL HEALTH, P. C. (NPI# 1396182838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396182838 |
| Entity Type | Organization |
| Organization Name | SPARKMAN BEHAVIORAL HEALTH, P. C. |
| Other Organization Name | LORETTA M SPARKMAN |
| Practice Address |
313 W Country Club Rd Suite 5 Roswell NM 88201-5804 |
| Mailing Address |
Po Box 571 Roswell NM 88202-0571 |
| Practice Telephone | 8665598607 |
| Practice Fax Number | 8665598607 |
| Mailing Telephone | 8665598607 |
| Mailing Fax Number | 8665598607 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | LORETTA MARGARET SPARKMAN (PRESIDENT) |
| Authorized Official Telephone | 5756261493 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP-02005 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Loretta M Sparkman | Other Name - Individual/Organization |
| Street Address |
313 W COUNTRY CLUB RD SUITE 5 |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668909 | Carlton N Walker | Dentist | 313 W Country Club Rd, Ste 6, Roswell, NM 88201-5804 | 2005-06-13 |
| 1548624372 | Mark D Antenucci Dpm PC | Podiatrist | 313 W Country Club Rd, Suite 7, Roswell, NM 88201-5804 | 2016-04-07 |
| 1104241173 | Pearson Heart Clinic, LLC | Internal Medicine | 313 W Country Club Rd, Roswell, NM 88201-5804 | 2014-02-26 |
| 1255766184 | Leishatt Torreblanca Villena | Pediatrics | 313 W Country Club Rd, Suite 13, Roswell, NM 88201-5804 | 2013-09-10 |
| 1710250493 | Loretta Margaret Sparkman | Nurse Practitioner | 313 W Country Club Rd, Suite 5, Roswell, NM 88201-5804 | 2012-02-10 |
| 1316266711 | Mekdess A Abebe | Internal Medicine | 313 W Country Club Rd, Roswell, NM 88201-5804 | 2010-05-25 |
| 1447480983 | Timothy Brent Price | Dentist | 313 W Country Club Rd, #6, Roswell, NM 88201-5804 | 2009-07-17 |
| 1093955189 | Donald J Willis D.o. P.C. | Family Medicine | 313 W Country Club Rd, Suite 9, Roswell, NM 88201-5804 | 2009-03-02 |
| 1639339955 | James F. Van Pelt,iii,m.d.,phd, P.C. | Psychiatry & Neurology | 313 W Country Club Rd, Ste. 10, Roswell, NM 88201-5804 | 2008-06-10 |
| 1508900473 | Julia I Jones | Nurse Practitioner | 313 W Country Club Rd, Roswell, NM 88201-5804 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| 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 |
|---|---|---|---|---|
| 1225646813 | Ololade Babarinde | Nurse Practitioner | 885 Woodstock Rd Ste 129, Roswell, GA 30075-2276 | 2020-07-20 |
| 1861946253 | Sandra Kovachi | Nurse Practitioner | 4609 Village Green Dr, Roswell, GA 30075-7642 | 2016-08-15 |
| 1770943086 | Melissa Kay Bethany | Nurse Practitioner | 613 W 2nd St Ste 1, Roswell, NM 88201-4671 | 2016-02-29 |
| 1982631040 | Susan A Greene | Nurse Practitioner | 901 Bombay Ln, Roswell, GA 30076-5829 | 2006-06-26 |
| 1780211466 | Seek First Health | Nurse Practitioner | 106 N Delaware Ave, Roswell, NM 88203-3042 | 2020-03-24 |
| 1073154365 | Tracy Dawn Tyler | Nurse Practitioner | 11111 Houze Rd Ste 225, Roswell, GA 30076-5618 | 2019-10-08 |
| 1275005449 | Viviene Verona Smith | Nurse Practitioner | 1902 Macy Dr, Roswell, GA 30076-6339 | 2018-12-27 |
| 1639690159 | Nirvana Mental Healthcare Services Inc | Nurse Practitioner | 1627 S Union Ave, Roswell, NM 88203-2656 | 2017-07-06 |
| 1033527924 | Kendaly Meadows | Nurse Practitioner | 901 Bombay Ln, Roswell, GA 30076-5829 | 2014-07-24 |
| 1316291792 | Special Needs Consulting LLC | Nurse Practitioner | 227 N Main St, Roswell, NM 88201-4722 | 2012-11-06 |
| Find all providers in ROSWELL | ||||
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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.