Active NPI
Courtney R Parker
- Behavior Technician
- Lithia, FL
National Provider Identifier
1487378485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5454 Lithia Pinecrest Rd
Lithia, FL 33547-2853 - Phone
- (813) 467-9280
- NPI assigned
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
5454 Lithia Pinecrest Rd
Lithia, FL 33547-2853
Mailing address
791 Rinehart Rd
Lake Mary, FL 32746-4876
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | CentralReach |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1487378485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 RINEHART RD",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 LITHIA PINECREST RD",
"city": "LITHIA",
"state": "FL",
"postal_code": "335472853",
"telephone_number": "813-467-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "COURTNEY",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "CentralReach",
"affiliation": "N",
"address_1": "5454 Lithia Pinecrest Rd",
"city": "Lithia",
"state": "FL",
"country_code": "US",
"postal_code": "335472853",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lithia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.