Active NPI
Kimberly Parker, P.T.
- Specialist
- Sharon, CT
National Provider Identifier
1356561997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 003087
- Practice address
- 22 Upper Main St
Suite 7
Sharon, CT 06069-2083 - Phone
- (860) 364-9840
- Fax
- (860) 364-1859
- NPI assigned
- Apr 26, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 003087 | CT | Primary |
Addresses
Primary practice location
22 Upper Main St
Suite 7
Sharon, CT 06069-2083
Mailing address
26 Valley Rd
Lakeville, CT 06039-2120
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q34521 | Other | NY | EMPIRE BC BS |
| 080003087 CT 02 | Other | CT | ANTHEM BC BS |
| 437133 | Other | NY | MVP SPECIALIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003087 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356561997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 VALLEY RD",
"city": "LAKEVILLE",
"state": "CT",
"postal_code": "060392120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 UPPER MAIN ST",
"address_2": "SUITE 7",
"city": "SHARON",
"state": "CT",
"postal_code": "060692083",
"telephone_number": "860-364-9840",
"fax_number": "860-364-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "KIMBERLY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "003087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC BS",
"identifier": "Q34521",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "080003087 CT 02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP SPECIALIST",
"identifier": "437133",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sharon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.