Mrs Shanice S Sparks, is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Mrs Shanice S Sparks is licensed to practice in * (Not Available) (license number ) and her current practice location is
6777 Rasberry Ln Apt 2021, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 393-5249.
NPI number for Mrs Shanice S Sparks is 1619422664 and her current mailing address is 1648 Midway St, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619422664.
Healthcare Provider's Profile
Full Name | Mrs Shanice S Sparks |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 6777 Rasberry Ln Apt 2021, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619422664
- Provider Enumeration Date: 08/19/2016
- Last Update Date: 05/23/2018
Medical Identifiers
Medical identifiers for Mrs Shanice S Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619422664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shanice S Sparks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shanice S Sparks, 1648 Midway St, Shreveport, LA 71108-2339 Ph: (318) 393-5249 | Mrs Shanice S Sparks, 6777 Rasberry Ln Apt 2021, Shreveport, LA 71129 Ph: (318) 393-5249 |
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