Organization Active NPI

Parker Surgical Partners, LLC

  • Women's Health Nurse Practitioner
  • Keller, TX
National Provider Identifier
1013369024
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP130426 Issued in TX
Legal business name
PARKER SURGICAL PARTNERS, LLC
Practice address
717 W Park Dr
Keller, TX 76248-2511
Phone
(817) 562-8577
NPI assigned
Jul 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Antay Parker, WHNP-BC, RNFA
Title
Owner/Provider
Phone
(817) 562-8577

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WR0006X 808428 TX
Surgical AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZC0007X SA00501 TX
Women's Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LW0102X AP130426 TX Primary

Addresses

Primary practice location

717 W Park Dr
Keller, TX 76248-2511

Mailing address

717 W Park Dr
Keller, TX 76248-2511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1013369024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W PARK DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W PARK DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482511",
            "telephone_number": "817-562-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER SURGICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ANTAY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "817-562-8577",
        "authorized_official_credential": "WHNP-BC, RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "808428",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00501",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP130426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.