Jennifer Lynn Parker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-0962 Issued in NV

Practice address

4956 Drifting Pebble St
North Las Vegas, NV 89081

Phone

(704) 619-4035

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jennifer.parker.p3@direct.caremorewest.nextgenshare.com

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1639696347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 SAN MATEO ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312171",
            "telephone_number": "704-619-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 DRIFTING PEBBLE ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89081",
            "telephone_number": "704-619-4035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4956 Drifting Pebble St",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "89081",
            "country_code": "US",
            "telephone_number": "704-619-4035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48459",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-0962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Parker-Graffell
• Chrstina Parker
• Gerald Parker
• Hannah Parker
• Jennifer Parker
• Kristina Maree Parker, CPC-I
• Laura Michele Parker, LCSW
• Marianne Margaret Parker
• Steven Parker
• Marlee Parkin

• Physical Therapy Assistant in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.