Individual provider Active NPI

Jack Neil Parsons, CRNA

  • Specialist
  • Atchison, KS
National Provider Identifier
1295784080
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1340229031 Issued in KS
Practice address
800 Raven Hill Drive
Atchison, KS 66002
Phone
(913) 367-2131
Fax
(913) 674-2023
NPI assigned
May 9, 2006
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1340229031 KS Primary

Addresses

Primary practice location

800 Raven Hill Drive
Atchison, KS 66002

Mailing address

800 Raven Hill Drive
Atchison, KS 66002
Phone (913) 367-2131

Other identifiers 2

IdentifierTypeStateIssuer
430000141OtherKSRR MEDICARE
9159788101MedicaidKS

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
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1340229031KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
A and D Hearing Center Inc PastSince Jan 30, 2012 Accepting new patients
Anesthesia Services of Blue Springs Past Accepting new patients
Northland Anesthesiology Inc Past Accepting new patients
Anesthesia & Pain Management Past Accepting new patients
Leavenworth Anesthesia PA Past Accepting new patients
Cadwell Therapuetics, Inc. Past Accepting new patients
Anesthesia Service, P a Specialist Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1295784080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RAVEN HILL DRIVE",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "66002",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RAVEN HILL DRIVE",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "66002",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "JACK",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "1340229031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "430000141",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9159788101",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.