Active NPI
Phyllis E Parr, RNP
- Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1164561460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R094285-4
- Practice address
- 1026 7TH St W
Saint Paul, MN 55102-3828 - Phone
- (651) 241-1000
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R094285-4 | MN | Primary |
Addresses
Primary practice location
1026 7TH St W
Saint Paul, MN 55102-3828
Mailing address
1026 W 7TH Street
St Paul, MN 55102-3007
Phone (651) 241-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095717800 | Medicaid | MN |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R094285-4 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1164561460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 W 7TH STREET",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551023007",
"telephone_number": "651-241-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 7TH ST W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551023828",
"telephone_number": "651-241-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARR",
"first_name": "PHYLLIS",
"middle_name": "E",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R094285-4",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095717800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.