Individual provider Active NPI

Kimberly Renee Starnes-Parr, OD

  • Optometrist
  • Cortez, CO
National Provider Identifier
1417012014
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2046 Issued in CO
Practice address
140 N Market St
Cortez, CO 81321-0820
Phone
(970) 565-2020
Fax
(970) 565-3632
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2046 CO Primary

Addresses

Primary practice location

140 N Market St
Cortez, CO 81321-0820

Mailing address

PO Box 820
140 N Market St
Cortez, CO 81321-0820
Phone (970) 565-2020

Other identifiers 1

IdentifierTypeStateIssuer
26959771MedicaidCO

Other names 1

  • Kimberly Renee Parr Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120606000084 TX Practitioner - Optometry 3476688243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Colorado Ute Service UnitGroup PAC ID 2163454968, 6 clinicians

Practice addresses (Care Compare)

232 Rustling Willow St
Ute Mountain Ute
Towaoc, CO 81334-0049
Phone (970) 565-4441

232 Rustling Willow St Complex D
Towaoc, CO 81334-0049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2046COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado Ute Service Unit CurrentSince Apr 25, 2012 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 13, 2023 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 13, 2023 Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

Interoperability endpoints

  • Direct secure messaging: kstarnsparr@direct-searhc.org

Organizations & group practices 5

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1417012014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "address_2": "140 N MARKET ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813210820",
            "telephone_number": "970-565-2020",
            "fax_number": "970-565-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N MARKET ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813210820",
            "telephone_number": "970-565-2020",
            "fax_number": "970-565-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARNES-PARR",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26959771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PARR",
            "middle_name": "RENEE",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.