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

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: August 09, 2026.

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

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
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

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

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.

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.