Active NPI
Parker Integrated Medical and Wellness, PLLC.
- Family Nurse Practitioner
- Plano, TX
National Provider Identifier
1093472417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karl A Shepherd, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9480 | Other | TX | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.planochiropractornow.com/ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Plano, TX
- NPI 1942240452
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.