Individual provider Active NPI

Kristi Lynn Parker, MFT

  • Marriage & Family Therapist
  • El Dorado Hills, CA
National Provider Identifier
1316116551
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39842 Issued in CA
Practice address
895 Embarcadero Dr
Suite 105
El Dorado Hills, CA 95762-4096
Phone
(530) 919-4857
Fax
(916) 933-4600
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC39842 CA Primary

Addresses

Primary practice location

895 Embarcadero Dr
Suite 105
El Dorado Hills, CA 95762-4096

Mailing address

895 Embarcadero Dr
Suite 105
El Dorado Hills, CA 95762-4096
Phone (530) 919-4857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC39842CAMDMarriage & Family Therapist
27806CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1316116551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 EMBARCADERO DR",
            "address_2": "SUITE 105",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624096",
            "telephone_number": "530-919-4857",
            "fax_number": "916-933-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 EMBARCADERO DR",
            "address_2": "SUITE 105",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624096",
            "telephone_number": "530-919-4857",
            "fax_number": "916-933-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KRISTI",
        "middle_name": "LYNN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

Verify at the official NPI Registry.