Parker Revels

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10605 Flikkema Ave
Hastings, FL 32145-8892

Phone

(904) 392-7935

NPI assigned

May 11, 2023

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1427748565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RYBAR LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 FLIKKEMA AVE",
            "city": "HASTINGS",
            "state": "FL",
            "postal_code": "321458892",
            "telephone_number": "904-392-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELS",
        "first_name": "PARKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kessler, FNP-BC
• Pamela Sue Marciszewski, LPN
• Mark Casey Phillips (Extended Care Pharmacy Hastings)
• Matthew David Masters
• Samantha Lynn Milstead
• Rural Health Care, Inc. (Azalea Health)
• Rural Health Care, Incorporated (Aza Health)
• S S Marathe MD PA (Medical Specialists of Hastings)
• Sharon Lee Sprenger, LMT
• Stephen Joseph Velez, DDS

• Behavior Technician in Hastings, FL
• Providers in Hastings, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.