Kelley Ann Parker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10225240 Issued in NY

Practice address

8 N 7TH St
Fulton, NY 13069-1402

Phone

(315) 402-9788

NPI assigned

Nov 1, 2012

Last updated

Nov 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1134473911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N 7TH ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691402",
            "telephone_number": "315-402-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N 7TH ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691402",
            "telephone_number": "315-402-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10225240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oswego Industries Inc.
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• Carla Brooke Overton, M.D.
• Barbara L Panko, DDS
• Michelle A. Parisian-Lagray, L.P.N.
• Tanya Parkhurst, LPN
• Ashley Lenore Parks-Elliot, D.M.D.
• Suryakant Z Patel, M.D.
• Vandana Bhanudas Patil, M.D.
• Stephanie Lynn Pawlenko

• Licensed Practical Nurse in Fulton, NY
• Providers in Fulton, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.