Individual provider Active NPI

Angela Hastings Parker, RN

  • Registered Nurse
  • Central Point, OR
National Provider Identifier
1417427410
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
090000325RN Issued in OR
Practice address
450 S 4TH St
Central Point, OR 97502-2224
Phone
(541) 494-6500
Fax
(541) 494-1147
NPI assigned
Dec 3, 2018
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 090000325RN OR Primary

Addresses

Primary practice location

450 S 4TH St
Central Point, OR 97502-2224

Mailing address

931 Chevy Way
Medford, OR 97504-4127
Phone (541) 535-6239

Other practice location 1

14235 Table Rock Rd
Central Point, OR 97502-9377
Phone (541) 494-6870

Other practice location 2

806 N 6th Ave
Gold Hill, OR 97525-9762
Phone (541) 494-6818

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
090000325RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica del Valle Family Health Care Center Inc. Past Accepting new patients
La Clinica del Valle Family Health Care Center Inc. PastSince Jul 25, 2019 Accepting new patients
La Clinica del Valle Family Health Care Center Inc. 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1417427410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CHEVY WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044127",
            "telephone_number": "541-535-6239",
            "fax_number": "541-512-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S 4TH ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022224",
            "telephone_number": "541-494-6500",
            "fax_number": "541-494-1147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14235 Table Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975029377",
            "country_code": "US",
            "telephone_number": "541-494-6870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 N 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Gold Hill",
            "state": "OR",
            "postal_code": "975259762",
            "country_code": "US",
            "telephone_number": "541-494-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ANGELA",
        "middle_name": "HASTINGS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "090000325RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.