Lauren K Parks, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1183 Issued in NM

Practice address

915 Vassar Dr NE Ste 170
Albuquerque, NM 87106-2727

Phone

(505) 272-8833

Fax

(505) 272-8316

NPI assigned

Mar 30, 2011

Last updated

Sep 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tierra Alta Neuropsychology LLC

  • Clinical Neuropsychologist
  • Santa Fe, NM
  • NPI 1245925940
  NPD

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1205125283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRADBURY DR SE",
            "address_2": "SUITE 1120",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064374",
            "telephone_number": "505-272-3120",
            "fax_number": "505-272-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 VASSAR DR NE STE 170",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062727",
            "telephone_number": "505-272-8833",
            "fax_number": "505-272-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "LAUREN",
        "middle_name": "K",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina L Parks Bent, ACNP
• Alexandria Parks, CD(DONA)
• Charlene Parks, CNP
• Christina Amanda Parks, CNP
• Kathleen Gaye Parks, LPCC
• Rheanne Parks
• Robert Parks, DPM
• Stacy Parks, PT
• Stephanie M Parks, DPM
• Parkway Dental NM LLC

• Clinical Neuropsychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Neuropsychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.