Individual provider Active NPI

Gay Lynn Parker, ARNP

  • Family Nurse Practitioner
  • Muskogee, OK
National Provider Identifier
1104992536
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0062703 Issued in OK
Practice address
3300 Chandler Rd
Suite 105
Muskogee, OK 74403-4957
Phone
(918) 681-3333
Fax
(918) 681-3336
NPI assigned
Nov 28, 2006
Last updated
Feb 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0062703 OK Primary

Addresses

Primary practice location

3300 Chandler Rd
Suite 105
Muskogee, OK 74403-4957

Mailing address

3300 Chandler Rd
Suite 105
Muskogee, OK 74403-4957
Phone (918) 681-3333

Other names 1

  • Ms. Gay Lynn Holsey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20070316000098 OK Practitioner - Nurse Practitioner 0840393666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1143 N Main St
Muskogee, OK 74401-4441
Phone (918) 681-3333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0062703OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Family Clinic PLLC Family CurrentSince Feb 13, 2017 Accepting new patients

Locations

1143 N Main St
Muskogee, OK 74401
Phone (918) 681-3333

3300 Chandler Rd
Ste 105
Muskogee, OK 74403
Phone (918) 441-1365

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1104992536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CHANDLER RD",
            "address_2": "SUITE 105",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034957",
            "telephone_number": "918-681-3333",
            "fax_number": "918-681-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CHANDLER RD",
            "address_2": "SUITE 105",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034957",
            "telephone_number": "918-681-3333",
            "fax_number": "918-681-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "GAY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0062703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAY",
            "last_name": "HOLSEY",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.