Active NPI
Daniel Parker
- Registered Nurse
- Point Pleasant, WV
National Provider Identifier
1548087703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9602112
- Practice address
- 2410 Jefferson Ave
Point Pleasant, WV 25550-1528 - Phone
- (304) 675-7400
- NPI assigned
- Sep 20, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9602112 | FL | Primary |
Addresses
Primary practice location
2410 Jefferson Ave
Point Pleasant, WV 25550-1528
Mailing address
37 Carl Dr
Evans, WV 25241-8075
Phone (304) 205-2949
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop/tablet |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9602112 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1548087703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 CARL DR",
"city": "EVANS",
"state": "WV",
"postal_code": "252418075",
"telephone_number": "304-205-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 JEFFERSON AVE",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255501528",
"telephone_number": "304-675-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-20",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9602112",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop/tablet",
"affiliation": "N",
"address_1": "2410 Jefferson Ave",
"city": "Point Pleasant",
"state": "WV",
"country_code": "US",
"postal_code": "255501528",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Point Pleasant, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.