Isabella Amythyst Parks

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

333 Crown Point Cir
Grass Valley, CA 95945-9534

Phone

(530) 273-5440

NPI assigned

May 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Isabella Amythyst Russ Former name

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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1457190472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROWN POINT CIR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CROWN POINT CIR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459534",
            "telephone_number": "530-273-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ISABELLA",
        "middle_name": "AMYTHYST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLA",
            "last_name": "RUSS",
            "middle_name": "AMYTHYST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Paone
• Laura Jane Papke
• Chelssee Paradise
• Brian Parker, M. A. LPCC
• Sheridan Rae Parkhouse
• Jack Philip Pascoe, PSY.D.
• Jay Robert Patt, DC
• Karina Maele Patton
• Marybeth Paul, CMT
• Samantha Paulus

• Adult Companion in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Adult Companion in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2025; 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.