Patice Pamela Parkinson, CRANIAL PROSTHESIS

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

7375 Executive PL Ste E17
Lanham, MD 20706-2278

Phone

(202) 873-4308

Fax

(202) 916-7996

NPI assigned

Jul 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1013698489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 EXECUTIVE PL FL 4",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062278",
            "telephone_number": "202-873-4308",
            "fax_number": "202-916-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 EXECUTIVE PL STE E17",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062278",
            "telephone_number": "202-873-4308",
            "fax_number": "202-916-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "PATICE",
        "middle_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "CRANIAL PROSTHESIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "202-916-7996",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "7375 Executive Pl Fl 4",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207062278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "202-916-7996",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "7375 Executive Pl Ste E17",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207062278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Parent, LGPC
• Sophia Pariseau
• Airelle Parker
• Denajah Parker
• Stephanie Parkes, PHARMD
• Antionette Parks, MSW
• Bobbie Parks
• Kali Pascual
• Maria Antoneth Pascual
• Marissa Italia Pasko

• Prosthetic/Orthotic Supplier in Lanham, MD
• Providers in Lanham, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.