Deborah Parra, PEDORTHIST

Primary specialty

PedorthistTaxonomy code 224L00000X

License

212.000178 Issued in IL

Practice address

3601 Ridge Rd
Lansing, IL 60438-3379

Phone

(708) 418-0000

Fax

(708) 418-0009

NPI assigned

Mar 13, 2017

Last updated

Dec 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abc Medical Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Merrillville, IN
  • NPI 1407364136
  NPD (past) Authorized official
• Abc Medical Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Lansing, IL
  • NPI 1659353183
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1013458827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S SALEM DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932764",
            "telephone_number": "708-418-0008",
            "fax_number": "708-418-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 RIDGE RD",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383379",
            "telephone_number": "708-418-0000",
            "fax_number": "708-418-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "DEBORAH",
        "credential": "PEDORTHIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "IL",
            "license": "212.000178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Owen, D.C.
• Cindy Irene Padilla, CNA
• Pallotto Dental Care
• Anthony M Pallotto, DDS
• Nicholas J Pallotto, DDS
• Latrice Tonias Pate Oglesby, LCPC
• Patient Plus Homehealth Care Inc.
• Patrick J Honsa DDS
• Sherese Payne
• People First Behavior Health, LLC

• Pedorthist in Lansing, IL
• Providers in Lansing, IL by specialty
• Pedorthist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.