Active NPI
Jana Lakecia Parker
- Community Health Worker
- Baker City, OR
National Provider Identifier
1386327153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 109441
- Practice address
- 3950 17TH St Ste a
Baker City, OR 97814-1300 - Phone
- (541) 523-8088
- Fax
- (541) 523-1152
- NPI assigned
- Aug 9, 2023
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 109441 | OR | Primary |
Addresses
Primary practice location
3950 17TH St Ste a
Baker City, OR 97814-1300
Mailing address
3950 17TH St Ste a
Baker City, OR 97814-1300
Phone (541) 523-8088
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 |
|---|---|---|---|
| 109441 | OR | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1386327153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 17TH ST STE A",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141300",
"telephone_number": "541-523-8088",
"fax_number": "541-523-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 17TH ST STE A",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141300",
"telephone_number": "541-523-8088",
"fax_number": "541-523-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JANA",
"middle_name": "LAKECIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "109441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.