Marya Janelle Parker, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

201910419NP-PP Issued in OR

Practice address

3006 Knightbridge Rd
Columbia, SC 29223-2131

Phone

(803) 736-8142

NPI assigned

Apr 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Precision Rehabilitation, LLC

  • Physical Medicine & Rehabilitation Physician
  • Columbia, SC
  • NPI 1750789236
  Medicare reassignment NPD

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1114452463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 KNIGHTBRIDGE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232131",
            "telephone_number": "803-736-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 KNIGHTBRIDGE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232131",
            "telephone_number": "803-736-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARYA",
        "middle_name": "JANELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "SC",
            "license": "20672",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "201910419NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Parker, PT
• Lanah M Parker
• Lasonya Denise Parker
• Mario Parker, LMT
• Marrionettia Davis Parker, L.P.C.
• Nalanti Deanna Parker, NP
• Rachel Lauren Parker, MD
• Reginald L Parker, MD
• Ronald Eugene Parker, LMSW
• Roxanne Erin Parker

• Primary Care Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.