Individual provider Active NPI

Kristine Mary Parkins, M.S.W.

  • Social Worker
  • Eau Claire, WI
National Provider Identifier
1528232329
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
3817-123 Issued in WI
Practice address
2004 Highland Ave
Suite M
Eau Claire, WI 54701-4400
Phone
(715) 835-5915
Fax
(715) 835-8112
NPI assigned
Apr 14, 2008
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3817-123 WI Primary

Addresses

Primary practice location

2004 Highland Ave
Suite M
Eau Claire, WI 54701-4400

Mailing address

2004 Highland Ave
Suite M
Eau Claire, WI 54701-4400
Phone (715) 835-5915

Other identifiers 1

IdentifierTypeStateIssuer
1528232329MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
3817-123WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Past Accepting new patients
Children's Service Society of Wisconsin PastSince May 1, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1528232329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HIGHLAND AVE",
            "address_2": "SUITE M",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014400",
            "telephone_number": "715-835-5915",
            "fax_number": "715-835-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HIGHLAND AVE",
            "address_2": "SUITE M",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014400",
            "telephone_number": "715-835-5915",
            "fax_number": "715-835-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINS",
        "first_name": "KRISTINE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "3817-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528232329",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.