Active NPI
Mara Parrish, C.R.N.P.
- Nurse Practitioner
- Dothan, AL
National Provider Identifier
1245306646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1082767
- Practice address
- 480 Honeysuckle Rd
Dothan, AL 36305 - Phone
- (334) 836-1212
- Fax
- (334) 836-1888
- NPI assigned
- Nov 28, 2006
- 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 | 1082767 | AL | Primary |
Addresses
Primary practice location
480 Honeysuckle Rd
Dothan, AL 36305
Mailing address
301 Medical Avenue
Suite a
Andalusia, AL 36420
Phone (334) 427-2621
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1082767 | AL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1245306646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MEDICAL AVENUE",
"address_2": "SUITE A",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "36420",
"telephone_number": "334-427-2621",
"fax_number": "334-222-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 HONEYSUCKLE RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36305",
"telephone_number": "334-836-1212",
"fax_number": "334-836-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "MARA",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1082767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.