Active NPI
Nevada Parker, LPN
- Licensed Practical Nurse
- Sodus, NY
National Provider Identifier
1346724093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 330168
- Practice address
- 6692 Middle Rd Ste 2100
Sodus, NY 14551-9602 - Phone
- (315) 483-1199
- NPI assigned
- Sep 19, 2018
- Last updated
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 330168 | NY | Primary |
Addresses
Primary practice location
6692 Middle Rd Ste 2100
Sodus, NY 14551-9602
Mailing address
PO Box 423
Penn Yan, NY 14527-0423
Phone (131) 553-1910
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330168 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finger Lakes Community Health | Past | Accepting new patients | |
| Finger Lakes Community Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Dundee Community Health
- Federally Qualified Health Center (FQHC)
- Dundee, NY
- NPI 1366939878
-
- Federally Qualified Health Center (FQHC)
- Sodus, NY
- NPI 1669568465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1346724093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 423",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145270423",
"telephone_number": "131-553-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6692 MIDDLE RD STE 2100",
"city": "SODUS",
"state": "NY",
"postal_code": "145519602",
"telephone_number": "315-483-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "NEVADA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "330168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sodus, NY
- Faig William Morgos, MD
- Albert Neri Jr., D.D.S
- North East Wayne Advanced Life Support, Inc.
- Debra L Palmer
- Patricia P Paprocki, LMT
- Patricia M Buyck, Occupational Therapist, PLLC
- Cecelia Ann Patterson-Norton, RN
- Stacey Pickering, LPN
- Alan F Pritchard, M.D.
- Rochester General Hospital (Wayne Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.