NPI Code Detail JSON Logo

1013419225 NPI number — SANDRA HAMPTON SPARKS NP-C

NPI Number: 1013419225
Health Care Provider/Practitioner: SANDRA HAMPTON SPARKS NP-C

Information about “1013419225” NPI (SANDRA HAMPTON SPARKS NP-C) exists in 1013419225 in HTML format HTML  |  1013419225 in plain Text format TXT  |  1013419225 in PDF (Portable Document Format) PDF  |  1013419225 in an XML format XML  formats.

NPI Number : 1013419225 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013419225",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SPARKS",
    "FirstName": "SANDRA",
    "MiddleName": "HAMPTON",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HAMPTON",
    "OtherFirstName": "SANDRA",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1021 W OAKLAND AVE STE 310",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JOHNSON CITY",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37604-2192",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-302-6565",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "310 N STATE OF FRANKLIN RD STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JOHNSON CITY",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37604-6051",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-979-6000",
    "PracticeLocationAddressFaxNumber": "423-979-6011",
    "EnumerationDate": "03/03/2018",
    "LastUpdateDate": "06/19/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "24122",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "F02180713",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.