Active NPI
Mitchell Parker, FNP
- Family Nurse Practitioner
- Fort Sill, OK
National Provider Identifier
1497739775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 61456
- Practice address
- 6039 Berry St
Fort Sill, OK 73503-4445 - Phone
- (580) 442-2268
- NPI assigned
- Dec 1, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 61456 | TX | Primary |
Addresses
Primary practice location
6039 Berry St
Fort Sill, OK 73503-4445
Mailing address
6039 Berry St
Fort Sill, OK 73503-4445
Phone (580) 442-2268
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0898079 | Other | CA | AANP CERT # |
| RN652600 | Other | CA | RN LIC # |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61456 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1497739775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6039 BERRY ST",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034445",
"telephone_number": "580-442-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6039 BERRY ST",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034445",
"telephone_number": "580-442-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MITCHELL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "61456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP CERT #",
"identifier": "F0898079",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LIC #",
"identifier": "RN652600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.