ALICE SPARKS (NPI# 1609123900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609123900 |
| Entity Type | Individual |
| Full Name | ALICE SPARKS |
| Credential | APRN |
| Practice Address |
1015 New Moody Ln La Grange KY 40031-9142 |
| Mailing Address |
799 E Brannon Rd Nicholasville KY 40356-6038 |
| Practice Telephone | 5029910589 |
| Mailing Telephone | 8599714652 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2013-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
3007528 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1015 NEW MOODY LN |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174540405 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1015 New Moody Ln, La Grange, KY 40031-9142 | 2006-07-16 |
| 1073114567 | Elizabeth Paige Whitaker | Pharmacist | 1015 New Moody Ln, La Grange, KY 40031-9142 | 2020-11-03 |
| 1922465764 | Rebecca Leite | Nurse Practitioner | 1015 New Moody Ln, Suite 200, La Grange, KY 40031-9142 | 2016-01-25 |
| 1376933614 | Susan Steitz | Nurse Practitioner | 1015 New Moody Ln, La Grange, KY 40031-9142 | 2015-01-26 |
| 1154721751 | Carolyn Hollkamp | Nurse Practitioner | 1015 New Moody Ln, La Grange, KY 40031-9142 | 2014-09-02 |
| 1669751343 | Jessica Michelle Green | Pharmacist | 1015 New Moody Ln, La Grange, KY 40031-9142 | 2011-08-11 |
| 1497086391 | Christy Sturgill | Nurse Practitioner | 1015 New Moody Ln, La Grange, KY 40031-9142 | 2010-01-18 |
| 1689874885 | Ngoc Do Bizzell Od, Psc | Optometrist | 1015 New Moody Ln, La Grange, KY 40031-9142 | 2007-07-25 |
| 1912085960 | Wal-mart Stores East, Lp | Technician/Technologist | 1015 New Moody Ln, La Grange, KY 40031-9142 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659872455 | Kimberly D. Scott | Nurse Practitioner | 1025 Sanibel Way Ste E, La Grange, KY 40031-9156 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393864 | Lindsay Ann Traeger | Nurse Practitioner | 633 E Main St Unit 553, Louisville, KY 40202-4739 | 2020-10-13 |
| 1790396331 | Kelley Rachelle Mcgarvey | Nurse Practitioner | 8174 Mall Rd, Florence, KY 41042-1414 | 2020-08-16 |
| 1093339772 | Melony Jill Jaggers | Nurse Practitioner | 9798 Ky-259, Mcdaniels, KY 40152-7127 | 2020-05-29 |
| 1316569270 | Glenn Allen Argento | Nurse Practitioner | 10039 Braxton Dr, Union, KY 41091-7631 | 2020-05-14 |
| 1104455682 | Right Time Clinics, LLC | Nurse Practitioner | 715 Shaker Dr Ste 80, Lexington, KY 40504-3628 | 2020-04-06 |
| 1518517655 | Alternative Health Solutions LLC | Nurse Practitioner | 235 Boggs Ln Ste 12&3, Richmond, KY 40475-2584 | 2019-09-19 |
| 1598239592 | Christina Leigh Barnett | Nurse Practitioner | 2337 Sir Barton Way, Lexington, KY 40509-2474 | 2019-01-14 |
| 1669974119 | Donald Ray Avery Jr. | Nurse Practitioner | 801 Barret Ave Ste 314, Louisville, KY 40204-1734 | 2018-03-01 |
| 1831632355 | Dulce Amor Alcuino Davis | Nurse Practitioner | 1012 Weda Cir, Mayfield, KY 42066-3169 | 2016-12-01 |
| 1992157002 | Markitta A Brown | Nurse Practitioner | 134 Roy Jenkins Dr, Corbin, KY 40701-3913 | 2016-07-13 |
| Find all providers with the same taxonomy | ||||
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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.