MS. SPARKLE GREEN ARNP
NPI 1487683074
Nurse Practitioner in Lake City, FL

Q: What is Sparkle Green's NPI number?

The NPI number for Sparkle Green is 1487683074. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as Goldie Sparkle Green Arnp.

Q: What is Sparkle Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sparkle Green was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 03, 2006

173 NW ALBRITTON LN, LAKE CITY, FL 32055(386) 755-4020(386) 752-9143 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Sparkle Green Arnp NPPES

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

MS. SPARKLE GREEN ARNP (NPI 1487683074) is an individual nurse practitioner in Lake City, Florida, licensed in Florida (1181972) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1487683074

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. SPARKLE GREENCredential: ARNP

Location Address173 NW ALBRITTON LNLake City, FL 32055-4451

Mailing Address911 S Main StTrenton, FL 32693-3239 · (352) 463-2374 · Fax (352) 463-2726

Phone(386) 755-4020

Fax(386) 752-9143

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateMarch 19, 2014

✔ NPI 1487683074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 1181972

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

173 NW ALBRITTON LN, Lake City, FL 32055

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Other Names 1

Professional Name (2)Goldie Sparkle Green Arnp

Other Identifiers 2

Medicaid033364600FL

Other1181972FL · Florida License Number

Other Providers at the Same Location NPPES 13

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

TRENTON MEDICAL CENTER, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))