{"npi":"1437571353","type":"NPI-1","status":"active","name":{"display":"Nicole Sparkman Pmhnp","other":[],"first":"NICOLE","last":"SPARKMAN","credential":"PMHNP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"TN","license":"18239"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"TN","license":"18239"}]},"addresses":[{"purpose":"LOCATION","street_1":"482 INTERSTATE DR","city":"MANCHESTER","state":"TN","postal_code":"373553485","country_code":"US","phone":"9314441000","fax":"9317281229"},{"purpose":"MAILING","street_1":"333 COMMERCE ST STE 700","city":"NASHVILLE","state":"TN","postal_code":"372011835","country_code":"US","phone":"6154549850"}],"license":{"state":"TN","number":"18239"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"7100280680","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"Q005004","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140313001600","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"9436389400"}]},"enumeration_date":"2014-01-12","last_updated":"2025-10-23","_meta":{"source":"NPPES","snapshot_date":"2025-10-23","doc_url":"https://findmynpi.com/api"}}