Active NPI
Brenda J Parrish, CERTIFIED REGISTERED
- Nurse Practitioner
- Boaz, AL
National Provider Identifier
1407028368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- I066425
- Practice address
- 2505Highway 431
Boaz, AL 35957 - Phone
- (256) 840-3478
- NPI assigned
- Mar 31, 2008
- Last updated
- Mar 31, 2008
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | I066425 | AL | Primary |
Addresses
Primary practice location
2505Highway 431
Boaz, AL 35957
Mailing address
PO Box 758
Boaz, AL 35957
Phone (256) 840-3478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51510553 | Other | AL | BCBS |
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
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I066425 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Medical Group, Inc | Past | Accepting new patients | |
| Marshall Medical Center South | Past | Accepting new patients | |
| Central Alabama Emergency Physicians, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Boaz, AL
- NPI 1992952964
-
- Certified Registered Nurse Anesthetist
- Boaz, AL
- NPI 1861663874
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1194736009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1407028368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758",
"city": "BOAZ",
"state": "AL",
"postal_code": "35957",
"telephone_number": "256-840-3478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505HIGHWAY 431",
"city": "BOAZ",
"state": "AL",
"postal_code": "35957",
"telephone_number": "256-840-3478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "BRENDA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "CERTIFIED REGISTERED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "I066425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51510553",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.