Active NPI
Barbara Jean Parker, PH.D.
- Audiologist
- Desoto, TX
National Provider Identifier
1609874155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51112
- Practice address
- 2715 Bolton Boone Dr
Suite C
Desoto, TX 75115-2078 - Phone
- (872) 572-5582
- Fax
- (972) 572-5583
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51112 | TX | Primary |
| Speech-Language Pathologist | 235Z00000X | 17154 | TX |
Addresses
Primary practice location
2715 Bolton Boone Dr
Suite C
Desoto, TX 75115-2078
Mailing address
2715 Bolton Boone Dr
Suite C
Desoto, TX 75115-2078
Phone (872) 572-5582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094627902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2715 Bolton Boone Dr C
Desoto, TX 75115-2079
Phone (972) 572-5582
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17154 | TX | MD | Professional Counselor |
| 51112 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Solutions, Inc. | Current | Accepting new patients |
Locations
2715 Bolton Boone Dr
Ste C
Desoto, TX 75115
Phone (872) 572-5582
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Desoto, TX
- NPI 1265645022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1609874155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 BOLTON BOONE DR",
"address_2": "SUITE C",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152078",
"telephone_number": "872-572-5582",
"fax_number": "972-572-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 BOLTON BOONE DR",
"address_2": "SUITE C",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152078",
"telephone_number": "872-572-5582",
"fax_number": "972-572-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "BARBARA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51112",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "17154",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094627902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.