GOLDEN SPARROW HEALTH, PLLC
NPI 1184509192
Clinic/Center in Conway, AR

NPI Status: Active since August 08, 2025

Contact Information

827 FAULKNER ST
CONWAY, AR
ZIP 72034
Phone: (501) 382-1977
Fax: (501) 271-4411

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  • Organization
  • Clinic/Center
  • CLIA Number: 04D2325571
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 06-15-2027

About GOLDEN SPARROW HEALTH, PLLC

This page provides the complete NPI Profile along with additional information for Golden Sparrow Health, Pllc, a provider established in Conway, Arkansas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1184509192 assigned on August 2025. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kimberly Blake Aprn, Fnp-c (Owner)

NPI
1184509192
Provider Name
GOLDEN SPARROW HEALTH, PLLC
Entity Type
Organization
Location Address
827 FAULKNER ST CONWAY, AR 72034
Location Phone
(501) 382-1977
Location Fax
(501) 271-4411
Mailing Address
827 FAULKNER ST CONWAY, AR 72034
Mailing Phone
(501) 382-1977
Mailing Fax
(501) 271-4411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2025
Last Update Date
08-08-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY BLAKE APRN, FNP-C

Authorized Official Title
OWNER
Authorized Official Phone
(501) 382-1977

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D2325571
Facility Type
Practitioner Other
Certificate Effective Date
June 16, 2025
Certificate Expiration Date
June 15, 2027
Laboratory Director
KIMBERLY L. BLAKE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Golden Sparrow Health, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184509192, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 5 → 10 → 1 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 0 + 0 + 1 + 8 + 1 + 1 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1184509192.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184509192, enumerated as an "organization" on August 08, 2025.

The provider is located at 827 FAULKNER ST CONWAY, AR 72034 and the phone number is (501) 382-1977.

Clinic/Center with taxonomy code 261Q00000X.