Tasha L. Parker LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

TASHA L. PARKER LLC

Practice address

5517 Plaza LN
Wichita, KS 67208-4154

Phone

(316) 202-8672

NPI assigned

Oct 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tasha Parker, LSCSWNPI 1639457328

Title

Owner/Operator

Phone

(316) 650-9285

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tasha Lynn Parker, LSCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1639457328
  Medicare reassignment Authorized official
• Christina Louise Granados, LSCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1255641619
  NPD

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540598400000",
    "number": "1285101311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 PLAZA LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084154",
            "telephone_number": "316-650-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 PLAZA LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084154",
            "telephone_number": "316-202-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASHA L. PARKER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-27",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "316-650-9285",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aqsa Tariq, MD
• Felix Tarm, M.D.
• Seth Tarrant, MD
• Brandon Lee Tarwater, PHARM D.
• Joan C Tash, CRNA
• Cameron Tasset
• Jessie Tate, CRNA
• Minta Susan Tate
• Lauren Nicole Tatlock, OD
• Andrea J Tatom

• Multi-Specialty Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Multi-Specialty Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.