Individual provider Active NPI

Carla Parker, MS, LAT, ATC

  • Athletic Trainer
  • Winston Salem, NC
National Provider Identifier
1467959627
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
LAT-3721 Issued in NC
Practice address
1901 Mooney St
Winston Salem, NC 27103-3032
Phone
(336) 716-4131
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X LAT-3721 NC Primary

Addresses

Primary practice location

1901 Mooney St
Winston Salem, NC 27103-3032

Mailing address

200 Big Oak TRL
Browns Summit, NC 27214-9563

Other practice location 1

1600 Union Cross Rd
Kernersville, NC 27284-7599
Phone (336) 771-4500

Other practice location 2

26 Penry St
Lexington, NC 27292-2638
Phone (336) 242-1574

Other practice location 3

1215 N Cameron Ave
Winston Salem, NC 27101-1816
Phone (336) 703-6732

Other practice location 4

301 N Hawthorne Rd
Winston Salem, NC 27104-3201
Phone (336) 703-4145

Other practice location 5

3545 Carver School Rd
Winston Salem, NC 27105-4033
Phone (336) 727-2987

Other practice location 6

1735 Lewisville Clemmons Rd
Clemmons, NC 27012-8374
Phone (336) 712-4400

Other practice location 7

342 Petree Rd
Winston Salem, NC 27106-4499
Phone (336) 703-6700

Other practice location 8

3750 Transou Rd
Pfafftown, NC 27040-9258
Phone (336) 703-6776

Other practice location 9

5705 Shattalon Dr
Winston Salem, NC 27105-1332
Phone (336) 661-4880

Other practice location 10

2500 W Mountain St
Kernersville, NC 27284-8017
Phone (336) 727-2265

Other practice location 11

5801 Sullivantown Road
Walkertown, NC 27051
Phone (336) 703-4151

Other practice location 12

1600 Brewer Rd
Winston Salem, NC 27127-3896
Phone (336) 771-4700

Other practice location 13

3605 Old Greensboro Rd
Winston Salem, NC 27101-2033
Phone (336) 703-6754

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
Master of Science

State licenses

LicenseStateTypeSpecialty
LAT-3721NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1467959627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BIG OAK TRL",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MOONEY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033032",
            "telephone_number": "336-716-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Union Cross Rd",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272847599",
            "country_code": "US",
            "telephone_number": "336-771-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Penry St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272922638",
            "country_code": "US",
            "telephone_number": "336-242-1574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 N Cameron Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271011816",
            "country_code": "US",
            "telephone_number": "336-703-6732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Hawthorne Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271043201",
            "country_code": "US",
            "telephone_number": "336-703-4145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3545 Carver School Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271054033",
            "country_code": "US",
            "telephone_number": "336-727-2987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1735 Lewisville Clemmons Rd",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270128374",
            "country_code": "US",
            "telephone_number": "336-712-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 Petree Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271064499",
            "country_code": "US",
            "telephone_number": "336-703-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3750 Transou Rd",
            "address_purpose": "LOCATION",
            "city": "Pfafftown",
            "state": "NC",
            "postal_code": "270409258",
            "country_code": "US",
            "telephone_number": "336-703-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5705 Shattalon Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271051332",
            "country_code": "US",
            "telephone_number": "336-661-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 W Mountain St",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272848017",
            "country_code": "US",
            "telephone_number": "336-727-2265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 Sullivantown Road",
            "address_purpose": "LOCATION",
            "city": "Walkertown",
            "state": "NC",
            "postal_code": "27051",
            "country_code": "US",
            "telephone_number": "336-703-4151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Brewer Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271273896",
            "country_code": "US",
            "telephone_number": "336-771-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3605 Old Greensboro Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271012033",
            "country_code": "US",
            "telephone_number": "336-703-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CARLA",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-3721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.