Nicole Marie Parker, ATC
Individual provider Active NPI Athletic Trainer · Fairview, PA
NPI 1174875355 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1174875355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT001680A (PA)
- Practice address
- 7460 McCray Rd
Fairview School District
Fairview, PA 16415-2401 - Phone
- (814) 474-3121
- Fax
- (814) 474-9814
- NPI assigned
- Oct 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT001680A | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT001680A | PA | Yes |
Addresses
Primary practice location
7460 McCray Rd
Fairview School District
Fairview, PA 16415-2401
Mailing address
7460 McCray Rd
Fairview School District
Fairview, PA 16415-2401
Phone (814) 474-3121
Other providers in Fairview, PA
- Kathleen Brigid Nies
- Jill Nolan
- Janet Sue Noland
- Carla Oconnor
- Richard Anthony Ortoski
- Christina Peterson
- Progressive Chiropractic & Injury Ctr, PC
- Progressive Chiropractic Center, LLC
- Regional Health Services Inc
- Regional Health Services Inc
All providers in Fairview, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.