Individual provider Active NPI

Andrea Michelle Parkhurst, BHRS

  • Rehabilitation Psychologist
  • Elk City, OK
National Provider Identifier
1043539760
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Practice address
1021 E Highway 66
Elk City, OK 73644-1906
Phone
(580) 225-4337
Fax
(580) 225-4338
NPI assigned
May 20, 2010
Last updated
May 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X NU Primary

Addresses

Primary practice location

1021 E Highway 66
Elk City, OK 73644-1906

Mailing address

1021 E Highway 66
Elk City, OK 73644-1906
Phone (580) 225-4337

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Family Services Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1043539760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E HIGHWAY 66",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736441906",
            "telephone_number": "580-225-4337",
            "fax_number": "580-225-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E HIGHWAY 66",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736441906",
            "telephone_number": "580-225-4337",
            "fax_number": "580-225-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKHURST",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "BHRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.