SPARKS HEALTHCARE CLINIC
NPI 1396498853
Nurse Practitioner - Adult Health in Huntsville, AL

Active since February 03, 2022CLIA 01D2258204 · Waiver
3503 MEMORIAL PKWY NW STE D, HUNTSVILLE, AL 35810(205) 442-6541 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2022, Feb 3, 2022 (2 updates tracked since 2022).

About Sparks Healthcare Clinic NPPES

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

SPARKS HEALTHCARE CLINIC (NPI 1396498853) is a healthcare organization registered as an adult health in Huntsville, Alabama and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Mary E Sparks, Crnp/owner, as its authorized official.

NPPES Registry Identity

NPI1396498853
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameSPARKS HEALTHCARE CLINIC
Location Address3503 MEMORIAL PKWY NW STE DHuntsville, AL 35810-2445
Mailing Address3503 Memorial Pkwy Nw Ste DHuntsville, AL 35810-2445 · (205) 442-6541
Organization SubpartNo
Authorized OfficialMary E SparksCrnp/owner · (205) 442-6541
Enumeration DateFebruary 3, 2022
Last NPPES UpdateMay 26, 20222 updates tracked since enumeration
NPPES CertifiedMay 26, 2022
NPI 1396498853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
3503 MEMORIAL PKWY NW STE D, Huntsville, AL 35810

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2258204

Sparks Healthcare Clinic · Huntsville, AL
Active · expires Apr 18, 2028
CLIA Number01D2258204
Laboratory TypePractitioner Other
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorDr. Kenneth E. Akalonu
Laboratory Phone(205) 442-6541
Laboratory LocationSparks Healthcare Clinic3503 Suite D North Memorial Parkway, Huntsville, AL 35810
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Acute Care)
3503 MEMORIAL PKWY NW STE D
HUNTSVILLE, AL 35810

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 Sparks Healthcare Clinic's NPI number?

The NPI number for Sparks Healthcare Clinic is 1396498853. It was assigned to this organization in the NPPES registry on February 3, 2022.

Where is Sparks Healthcare Clinic located?

Sparks Healthcare Clinic is located at 3503 Memorial Pkwy NW Ste D, Huntsville, AL 35810. The listed phone number is (205) 442-6541.

What is Sparks Healthcare Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does Sparks Healthcare Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2258204) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sparks Healthcare Clinic was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.