Active NPI
Craig James Parkinson, ATC, LAT
- Athletic Trainer
- Idaho Falls, ID
National Provider Identifier
1053125633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2861367
- Practice address
- 2325 Coronado St
Idaho Falls, ID 83404-7407 - Phone
- (208) 557-2700
- NPI assigned
- Feb 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2861367 | ID | Primary |
Addresses
Primary practice location
2325 Coronado St
Idaho Falls, ID 83404-7407
Mailing address
5750 W 4313 N
Rexburg, ID 83440-3083
Phone (208) 419-2944
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2861367 | ID | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1053125633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 W 4313 N",
"city": "REXBURG",
"state": "ID",
"postal_code": "834403083",
"telephone_number": "208-419-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 CORONADO ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047407",
"telephone_number": "208-557-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKINSON",
"first_name": "CRAIG",
"middle_name": "JAMES",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ID",
"license": "2861367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
- Randall M. Parker, LCSW, CADC
- Robert Ean Parker, BA
- Scott J Parker, M.D.
- Tyson Craig Parker, PA-C
- Brant Parkinson, PA-C
- Laura Parks, LSW
- Parkway Eyecare, P.C. (Parkway Eyecare)
- Parkwest Dental Care
- Parkwood Meadows Community Healthcare LLC (Parkwood Meadows Assisted Living)
- Parkwood Meadows LLC (Parkwood Meadows Assisted Living Community)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.