MRS. REBECCA EUGENIA SPARKS (NPI# 1922169945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922169945 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA EUGENIA SPARKS |
| Credential | ANP |
| Practice Address |
1200 W Niccum Ave Swuite 1 Effingham IL 62401-4217 |
| Mailing Address |
1200 W Niccum Ave Effingham IL 62401-4217 |
| Practice Telephone | 2175406680 |
| Practice Fax Number | 2175406689 |
| Mailing Telephone | 2175406680 |
| Mailing Fax Number | 2175406689 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209005418 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659325561 | Rebecca C. Sparks | Optometrist | 307 W Hwy 54, Ste 100, Andover, KS 67002-7849 | 2006-05-22 |
| 1093168130 | Rebecca Maxine Sparks | Physician Assistant | 1055 S Wells Ave, Reno, NV 89502-2550 | 2016-07-13 |
| 1891866919 | Rebecca Kydd Sparks | Counselor | 2 Church St, Suite 2d, Burlington, VT 05401-4299 | 2006-11-11 |
| Street Address |
1200 W NICCUM AVE SWUITE 1 |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659744548 | Quad/med, LLC | Clinic/Center | 1200 W Niccum Ave, Effingham, IL 62401-4217 | 2015-11-02 |
| 1922438514 | Quad/med, LLC | Clinic/Center | 1200 W Niccum Ave, Effingham, IL 62401-4217 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312258 | Emily Elizabeth Schultz | Nurse Practitioner | 802 Park Hills Dr, Effingham, IL 62401-3122 | 2019-08-19 |
| 1447600259 | Angela Marie Brumleve | Nurse Practitioner | 900 W Temple Ave Ste 1500, Effingham, IL 62401-2121 | 2016-06-13 |
| 1770718694 | Susan Dunlap | Nurse Practitioner | 15650 N Blue Point Trl, Effingham, IL 62401-7696 | 2009-05-20 |
| 1588273916 | Mary Jo Bierman | Nurse Practitioner | 912 N Henrietta St, Effingham, IL 62401-1788 | 2020-07-31 |
| 1811530868 | Shelbi Birch | Nurse Practitioner | 900 W Temple Ave Ste 208, Effingham, IL 62401-2187 | 2019-10-22 |
| 1790332450 | Rebekah E Doty | Nurse Practitioner | 900 W Temple Ave Ste 208, Effingham, IL 62401-2187 | 2019-08-19 |
| 1871078378 | Viola Michelle Oliver | Nurse Practitioner | 1115 N Wenthe Dr, Effingham, IL 62401-1612 | 2018-10-01 |
| 1881103869 | Sarah Vaughn | Nurse Practitioner | 1106 N Merchant St, Effingham, IL 62401-2128 | 2017-09-22 |
| 1902350499 | Kristina M. Schnepper | Nurse Practitioner | 300 N Maple St, Effingham, IL 62401-2003 | 2016-08-12 |
| 1437506722 | Alicia Davis | Nurse Practitioner | 414 W Virginia Ave, Effingham, IL 62401-2258 | 2016-05-17 |
| Find all providers in EFFINGHAM | ||||
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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.