Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Richelle Sparks, APRN

Individual provider Family Nurse Practitioner · NPI 1083062988

Kellie Richelle Sparks, APRN is a Nurse Practitioner in Grayson, Kentucky. Qualified in 2016, 10 years ago. Practices with Lewis County Primary Care Center, Inc, a 88-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Licensed in
KY
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

645 Interstate Dr
Grayson, KY 41143-1704
Phone: (606) 474-0669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 399 Diederich Blvd, Ashland, KY 41101-7007 — (606) 324-8060
  • 2301 Lexington Ave Ste 215, Ashland, KY 41101-2833 — (606) 408-4900
  • 2201 Lexington Ave, Ashland, KY 41101-2843 — (606) 408-4000
  • 10650 Us Route 60, Ashland, KY 41102-9611 — (606) 408-6301

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3010258 (KY)

Record details

NPI number1083062988
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJune 1, 2016
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lewis County Primary Care Center, Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grayson