SPARK HEALING AZ PLLC
NPI 1780406983
Nurse Practitioner in Sun City West, AZ

Q: What is Spark Healing Az PLLC's NPI number?

The NPI number for Spark Healing Az PLLC is 1780406983. It was assigned to this organization in the NPPES registry on October 29, 2024.

Q: What is Spark Healing Az PLLC's specialty?

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

Active since October 29, 2024

14506 W GRANITE VALLEY DR STE 225, SUN CITY WEST, AZ 85375(888) 616-5912(888) 616-5913 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2025, Jun 30, 2025 (2 updates tracked since 2025).

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About Spark Healing Az Pllc NPPES

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

SPARK HEALING AZ PLLC (NPI 1780406983) is a healthcare organization registered as a nurse practitioner in Sun City West, Arizona and active in the NPI registry since October 2024. The organization lists Sushil Pandey, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1780406983

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSPARK HEALING AZ PLLC

Location Address14506 W GRANITE VALLEY DR STE 225Sun City West, AZ 85375-6013

Mailing Address14506 W Granite Valley Dr Ste 225Sun City West, AZ 85375-6013 · (888) 616-5912 · Fax (888) 616-5913

Phone(888) 616-5912

Fax(888) 616-5913

Organization SubpartNo

Authorized OfficialSushil PandeyMember Manager · (347) 239-6581

Enumeration DateOctober 29, 2024

Last NPPES UpdateSeptember 1, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2025

✔ NPI 1780406983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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.

Also ListedClinic/CenterTaxonomy 261Q00000X

14506 W GRANITE VALLEY DR STE 225, Sun City West, AZ 85375

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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 Spark Healing Az PLLC's NPI number?

The NPI number for Spark Healing Az PLLC is 1780406983. It was assigned to this organization in the NPPES registry on October 29, 2024.

Where is Spark Healing Az PLLC located?

Spark Healing Az PLLC is located at 14506 W Granite Valley Dr Ste 225, Sun City West, AZ 85375. The listed phone number is (888) 616-5912.

What is Spark Healing Az PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Spark Healing Az PLLC was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.