Taylor Parks

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

201505405RN Issued in OR

Practice address

1212 W Linda Ave
Hermiston, OR 97838-9610

Phone

(541) 567-2536

Fax

(541) 567-2362

NPI assigned

Feb 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Lifeways, Inc

  • Psychiatric Residential Treatment Facility
  • Hermiston, OR
  • NPI 1144761784
  NPD (past)
• Lifeways, Inc

  • Psychiatric Residential Treatment Facility
  • Umatilla, OR
  • NPI 1417183906
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1073146817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SUNSET DR",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143121",
            "telephone_number": "541-889-9167",
            "fax_number": "541-889-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W LINDA AVE",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978389610",
            "telephone_number": "541-567-2536",
            "fax_number": "541-567-2362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Willamette St",
            "address_purpose": "LOCATION",
            "city": "Umatilla",
            "state": "OR",
            "postal_code": "978826601",
            "country_code": "US",
            "telephone_number": "541-922-0880",
            "fax_number": "541-922-2820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201505405RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtis Paine
• Brenda Palacios
• Michael K. Palmblad, D.C.
• Rachel Ann Palmer, RN
• Paige Palzinski, PA-S
• Jennifer Paxton, RN
• Ashley Dawn Pearce, PT
• Andrew Scott Pearson, PHARMD
• Toby Allen Penner, CRNA, MSN
• Perfectly Broken LLC

• Psychiatric/Mental Health Registered Nurse in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.