SOULSPARK, LLC
NPI 1386254092
Nurse Practitioner - Psychiatric/Mental Health in Scottsdale, AZ

Q: What is Soulspark, LLC's NPI number?

The NPI number for Soulspark, LLC is 1386254092. It was assigned to this organization in the NPPES registry on August 6, 2020.

Q: What is Soulspark, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Soulspark, LLC was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since August 06, 2020

9835 E BELL RD STE 140, SCOTTSDALE, AZ 85260(602) 429-9244(602) 609-4955 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2021, Apr 5, 2021, Aug 6, 2020 (3 updates tracked since 2020).

On this page

About Soulspark, Llc NPPES

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

SOULSPARK, LLC (NPI 1386254092) is a healthcare organization registered as a psychiatric/mental health in Scottsdale, Arizona and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Chandler and lists Jania Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1386254092

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSOULSPARK, LLC

Location Address9835 E BELL RD STE 140Scottsdale, AZ 85260-2355

Mailing Address2036 N Gilbert Rd Ste 2106Mesa, AZ 85203-2139 · (602) 429-9129

Phone(602) 429-9244

Fax(602) 609-4955

Organization SubpartNo

Authorized OfficialJania DavisOwner · (480) 518-5321

Enumeration DateAugust 6, 2020

Last NPPES UpdateMarch 11, 20243 updates tracked since enumeration

NPPES CertifiedMarch 11, 2024

✔ NPI 1386254092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

9835 E BELL RD STE 140, Scottsdale, AZ 85260

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Secondary Practice Location 1

Location 11815 E Queen Creek Rd Ste 1Chandler, AZ 85286-2017 · Phone (602) 429-9244 · Fax (602) 609-4955

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soulspark, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Soulspark, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Jania Davis, PMHNP

Nurse Practitioner

NPI 1013437474

16155 N 83RD AVE STE 211
Peoria, AZ 85382

(801) 369-8989

✔ PECOS21 mi

Jackline Mumia, PMHNP-BC

Nurse Practitioner

NPI 1033924642

1542 KINGSLEY AVE STE 136-137
Orange Park, FL 32073

(904) 458-7780

✔ PECOS✔ Accepts Medicare1,781 mi

Blazen Draguljic, M.D.

Psychiatry

NPI 1528249125

800 PRUDENTIAL DR
Jacksonville, FL 32207

(904) 376-3800

✔ PECOS✔ Accepts Medicare1,782 mi

Alice Trice, ARNP

Nurse Practitioner

NPI 1780160309

800 PRUDENTIAL DR
Jacksonville, FL 32207

(904) 376-3800

✔ PECOS1,782 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Soulspark, LLC's NPI number?

The NPI number for Soulspark, LLC is 1386254092. It was assigned to this organization in the NPPES registry on August 6, 2020.

Where is Soulspark, LLC located?

Soulspark, LLC is located at 9835 E Bell Rd Ste 140, Scottsdale, AZ 85260. The listed phone number is (602) 429-9244.

What is Soulspark, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Soulspark, LLC enrolled in Medicare?

Yes. Soulspark, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soulspark, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Soulspark, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Psychiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Soulspark, LLC was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.