Individual provider Active NPI

Nicole Marie Parker-Sutton, MSW

  • Clinical Social Worker
  • Dodge City, KS
National Provider Identifier
1043467772
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4253 Issued in KS
Practice address
100 Military Ave
Suite 116
Dodge City, KS 67801-4946
Phone
(620) 227-8306
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7252 KS
Clinical Social Worker 1041C0700X 4253 KS Primary

Addresses

Primary practice location

100 Military Ave
Suite 116
Dodge City, KS 67801-4946

Mailing address

2406 Reeves Ave
Dodge City, KS 67801-2418
Phone (620) 227-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7252KSMDSocial Worker
4253KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Sutton Counseling Services LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1043467772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 REEVES AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012418",
            "telephone_number": "620-227-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILITARY AVE",
            "address_2": "SUITE 116",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678014946",
            "telephone_number": "620-227-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-SUTTON",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7252",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.