Organization Active NPI

Parker Integrated Medical and Wellness, PLLC.

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1093472417
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PARKER INTEGRATED MEDICAL AND WELLNESS, PLLC.
Practice address
4709 W Parker Rd Ste 440
Plano, TX 75093-3369
Phone
(972) 212-5725
NPI assigned
Nov 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Karl A Shepherd, DCNPI 1942240452
Title
Owner
Phone
(972) 212-5725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4709 W Parker Rd Ste 440
Plano, TX 75093-3369

Mailing address

4709 W Parker Rd Ste 440
Plano, TX 75093-3369
Phone (972) 212-5725

Other identifiers 1

IdentifierTypeStateIssuer
9480OtherTXSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.planochiropractornow.com/

National Provider Directory

National Provider Directory

Locations

4709 W Parker Rd
Ste 440
Plano, TX 75093
Phone (972) 212-5725

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1093472417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 W PARKER RD STE 440",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933369",
            "telephone_number": "972-212-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 W PARKER RD STE 440",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933369",
            "telephone_number": "972-212-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER INTEGRATED MEDICAL AND WELLNESS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-212-5725",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9480",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.planochiropractornow.com/",
            "affiliation": "N",
            "address_1": "4709 W Parker Rd Ste 440",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750933369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.