Individual provider Active NPI

Kathy Lynn Parmer, RN, BSN

  • Registered Nurse
  • Fayetteville, AR
National Provider Identifier
1326575531
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN625569 Issued in PA
Practice address
3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288
Phone
(479) 582-0777
Fax
(479) 582-0778
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN625569 PA Primary

Addresses

Primary practice location

3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288

Mailing address

3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288
Phone (479) 582-0777

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN625569PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trestletree, LLC Registered Nurse PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326575531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 N BUSINESS DR STE 202",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035288",
            "telephone_number": "479-582-0777",
            "fax_number": "479-582-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N BUSINESS DR STE 202",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035288",
            "telephone_number": "479-582-0777",
            "fax_number": "479-582-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMER",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN625569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.