CAROLINA LIZETE SPARKMAN DO
NPI 1215724315
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since April 22, 2025PECOS Enrolled
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 414-1880 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolina Lizete Sparkman Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA LIZETE SPARKMAN DO (NPI 1215724315) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215724315
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLINA LIZETE SPARKMANCredential: DO
Location Address800 PENNSYLVANIA AVECharleston, WV 25302-3351
Mailing Address800 Pennsylvania AveCharleston, WV 25302-3351
Sole ProprietorYes
Enumeration DateApril 22, 2025
Last NPPES UpdateMay 21, 2025
NPPES CertifiedMay 6, 2025
NPI 1215724315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 PENNSYLVANIA AVE, Charleston, WV 25302

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carolina Lizete Sparkman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Clinic/Center (Adult Mental Health)
800 PENNSYLVANIA AVE, FAMILY RESOURCE CENTER
CHARLESTON, WV 25302
Nurse Practitioner (Family)
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Sparkman's NPI number?

The NPI number for Carolina Sparkman is 1215724315. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Carolina Sparkman located?

Carolina Sparkman practices at 800 Pennsylvania Ave, Charleston, WV 25302. The listed phone number is (304) 414-1880.

What is Carolina Sparkman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carolina Sparkman enrolled in Medicare?

Yes. Carolina Sparkman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolina Sparkman was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.