Marlyce E Parker, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP3966 Issued in AZ

Practice address

2767 Silver Creek Rd
Suite a
Bullhead City, AZ 86442-8227

Phone

(928) 704-6741

Fax

(928) 704-6779

NPI assigned

Jan 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-State Medical Specialists LLCGroup PAC ID 1850422023, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri-State Medical Specialists LLC

  • Pain Medicine Physician
  • Fort Mohave, AZ
  • NPI 1649598426
  Medicare reassignment Care Compare group
• Geriatric Medical Associates of Nevada LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1235395484
  NPD (past)
• Iyad Houshan, M.D. Professional Corporation

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1467514729

  Gerontology

  NPD (past)
• Michael R Falvo DO LTD

  • Internal Medicine Physician
  • Boulder City, NV
  • NPI 1669558284
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1497726053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 S WISHING WELL WAY",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864268880",
            "telephone_number": "702-985-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 SILVER CREEK RD",
            "address_2": "SUITE A",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428227",
            "telephone_number": "928-704-6741",
            "fax_number": "928-704-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARLYCE",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APN000821",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP3966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504343",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palo Verde Physical & Sports Therapy, LLC
• Palo Verde Physical Therapy
• Paragon Healthcare of Arizona,LLC.
• Paragon Physical Therapy and Rehab, LLC
• Shehzad M Parekh, MD
• Shannon Marie Patch, LAC
• Peachtree Dream Anesthesia Inc
• Dalene D. Perdue, CRNA
• Alexis Perez, CRNA
• Kristina Petersen

• Gerontology Nurse Practitioner in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.