Carla J Parks

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

HAS-0465 Issued in SC

Practice address

101 Verdae Blvd
Suite 100
Greenville, SC 29607-3832

Phone

(864) 288-3113

NPI assigned

Aug 28, 2014

Last updated

Aug 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1285034132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 VERDAE BLVD STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073827",
            "telephone_number": "864-386-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VERDAE BLVD",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073832",
            "telephone_number": "864-288-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CARLA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "SC",
            "license": "HAS-0465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda S Parker, MD
• Margaret Parker, MA SP
• Scott Malcolm Parker, M.D.
• Stacie Parker
• Tiffney Davidson Parker, MSW, LMSW
• Chameka Konswela Parks
• Chase Parks, DPT
• Maximus Gordon Parks
• Parkside Consulting Inc
• William Parler

• Community Health Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Community Health Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.