MRS. KATHLEEN MALONE SPARKS (NPI# 1659707370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659707370 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN MALONE SPARKS |
| Credential | ATC, LAT |
| Practice Address |
714 N Senate Ave Ste 200 Indianapolis IN 46202-3297 |
| Practice Telephone | 3176885384 |
| Mailing Telephone | 3176885384 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36000129A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475706 | Kathleen Sparks | Counselor | 1830 S Alma School Rd, Mesa, AZ 85210-3056 | 2018-01-22 |
| Street Address |
714 N SENATE AVE STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-3297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376102293 | Audra Lyn Moor | Registered Nurse | 714 N Senate Ave Ste 200, Indianapolis, IN 46202-3297 | 2019-06-13 |
| 1932604725 | Amanda Good Hill | Nurse Practitioner | 714 N Senate Ave Ste 200, Indianapolis, IN 46202-3297 | 2018-03-26 |
| 1962919076 | Jill I Coss | Nurse Practitioner | 714 N Senate Ave Ste 200, Indianapolis, IN 46202-3297 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256071 | Dylan A Wirick | Specialist/Technologist | 3547 Mechanicsburg Dr, Indianapolis, IN 46227-9626 | 2020-08-23 |
| 1750993267 | Kathryn Ruark | Specialist/Technologist | 625 Canal View Dr Apt G, Indianapolis, IN 46202-6121 | 2020-08-18 |
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1902415508 | Kaitlyn Kendrick | Specialist/Technologist | 2909 Tindall St, Indianapolis, IN 46203-5449 | 2020-07-29 |
| 1447872254 | Ashley Lewandowski | Specialist/Technologist | 2805 S Lynhurst Dr, Indianapolis, IN 46241-5609 | 2020-05-14 |
| 1679193452 | Nijeil Anthony | Specialist/Technologist | 1140 Dr Martin Luther King Jr St, Indianapolis, IN 46202-2221 | 2020-04-21 |
| 1588208359 | Carolyn Aileen Meeker | Specialist/Technologist | 2316 Harvest Moon Ln, Indianapolis, IN 46229-4985 | 2019-11-04 |
| 1235786690 | Dillon Hurst | Specialist/Technologist | 4931 Sunscape Cir Apt 1907, Indianapolis, IN 46237-4638 | 2019-08-21 |
| 1558913814 | Jamie M Wolf | Specialist/Technologist | 5653 Olive Branch Way, Indianapolis, IN 46237-3193 | 2019-07-16 |
| 1861044836 | Christine Bhe | Specialist/Technologist | 6991 Hillsdale Ct, Indianapolis, IN 46250-2054 | 2019-07-10 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.