Individual provider Active NPI

Rebecca Suzanne Parker, RN, MN, CNM, FNP.

  • Family Nurse Practitioner
  • Ashland, OR
National Provider Identifier
1154392496
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200150132NP Issued in OR
Practice address
796 Oak St
Ashland, OR 97520-1263
Phone
(503) 819-3712
Fax
(541) 708-0230
NPI assigned
Jan 26, 2006
Last updated
Oct 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200150132NP OR Primary
Family Nurse Practitioner 363LF0000X AP30004962 WA
Advanced Practice Midwife 367A00000X 91007142 OR
Advanced Practice Midwife 367A00000X AP 30004962 WA
Advanced Practice Midwife 367A00000X 1876 CA

Addresses

Primary practice location

796 Oak St
Ashland, OR 97520-1263

Mailing address

796 Oak St
Ashland, OR 97520-1263
Phone (503) 819-3712

Other identifiers 2

IdentifierTypeStateIssuer
013904000OtherORBCBS
273945MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
200150132NPORMDFamily Nurse Practitioner
AP30004962WAMDFamily Nurse Practitioner
1876CAMDAdvanced Practice Midwife
91007142ORMDAdvanced Practice Midwife
AP 30004962WAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1154392496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 OAK ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201263",
            "telephone_number": "503-819-3712",
            "fax_number": "541-708-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 OAK ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201263",
            "telephone_number": "503-819-3712",
            "fax_number": "541-708-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "REBECCA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "RN, MN, CNM, FNP.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200150132NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30004962",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "91007142",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP 30004962",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "013904000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273945",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.