Individual provider Active NPI

Jennifer Parra, M.A., CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Sugar Land, TX
National Provider Identifier
1073928073
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Practice address
2150 Town Square Place
Suite 290
Sugar Land, TX 77479-1643
Phone
(281) 768-6730
Fax
(281) 768-6766
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

2150 Town Square Place
Suite 290
Sugar Land, TX 77479-1643

Mailing address

3335 Mulberry Hill LN
Houston, TX 77084-5540
Phone (832) 474-4901

Other identifiers 1

IdentifierTypeStateIssuer
2856OtherABRET CERTIFICATION FOR CNIM

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Resources LLC Electroneurodiagnostic Past Accepting new patients
Longhorn Neurophysiology, P.a. Electroneurodiagnostic PastSince Mar 25, 2013 Accepting new patients

Organizations & group practices 2

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1073928073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 MULBERRY HILL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845540",
            "telephone_number": "832-474-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 TOWN SQUARE PLACE",
            "address_2": "SUITE 290",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791643",
            "telephone_number": "281-768-6730",
            "fax_number": "281-768-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "JENNIFER",
        "credential": "M.A., CNIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABRET CERTIFICATION FOR CNIM",
            "identifier": "2856",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.