BONNIE SPARKS (NPI# 1609207208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609207208 |
| Entity Type | Individual |
| Full Name | BONNIE SPARKS |
| Credential | APRN NP-BC |
| Practice Address |
1762 Clifton Road Ne Atlanta GA 30022 |
| Mailing Address |
2518 Midway Rd Decatur GA 30030-4566 |
| Practice Telephone | 4047784818 |
| Mailing Telephone | 4042743273 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
166564 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104178458 | Bonnie Faye Sparks | Pharmacist | 2510 Adams Ave, La Grande, OR 97850-3467 | 2012-10-11 |
| Street Address |
1762 CLIFTON ROAD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1386144848 | Gabrielle Nicole Stevens | Nurse Practitioner | 980 Johnson Ferry Rd Ste 900, Atlanta, GA 30342-4768 | 2018-02-20 |
| 1316451909 | Tamika Antoinette Thompson | Nurse Practitioner | 2569 Saint Paul Dr Sw, Atlanta, GA 30331-9221 | 2017-11-20 |
| 1396268819 | Erin Bremer | Nurse Practitioner | 12 Executive Park Dr Ne Fl 4, Atlanta, GA 30329-2206 | 2017-07-18 |
| 1275063513 | Dhruvangi Sharma | Nurse Practitioner | 8095 Roswell Rd, Atlanta, GA 30350-3931 | 2017-06-19 |
| 1093191249 | Sheryl Lamb | Nurse Practitioner | 455 E Ontario Ave Sw, Atlanta, GA 30310-1505 | 2015-08-10 |
| 1831584549 | Hope A Khan | Nurse Practitioner | 7101 Saint Clair Dr Ne, Atlanta, GA 30329-2679 | 2015-03-30 |
| 1669891941 | Sherly Clairvil | Nurse Practitioner | 5825 Glenridge Dr Ste 120, Atlanta, GA 30328-5387 | 2014-04-15 |
| 1770906620 | Countiss Williams | Nurse Practitioner | 3161 Howell Mill Rd Nw Ste 400, Atlanta, GA 30327-2117 | 2014-01-29 |
| 1447687512 | Angeletta Ansley Johnson | Nurse Practitioner | 2001 Mlk Jr. Blvd., Suite 418, Avenia Behavioral Management Inc, Atlanta, GA 30310 | 2013-10-03 |
| Find all providers in ATLANTA | ||||
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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.