Virginia Anne Parker, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103608 Issued in FL

Practice address

3240 S Florida Ave
Lakeland, FL 33803-4574

Phone

(863) 701-2470

Fax

(863) 701-2474

NPI assigned

Jun 29, 2006

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1073541009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 HIGHLANDS PLACE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034574",
            "telephone_number": "863-701-2470",
            "fax_number": "863-701-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "VIRGINIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane Vincent Parker, D.C., A.R.N.P.
• Jeanna Parker, ARNP
• Jeremy Adam Parker
• Karah A Parker
• Roberta W Parker, RN
• Marie E Parkman, ARNP
• Parkview Medical Group, LLC
• Jesspreet Singh Parmar, DMD
• Erwing Armando Parra de Jesus, MD
• Lucien J. Parrillo, MD, MPH

• Physician Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.