Individual provider Active NPI

Liane Nicole Parks

  • Technician
  • Live Oak, TX
National Provider Identifier
1649922394
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Practice address
12702 Toepperwein Rd Ste 209
Live Oak, TX 78233-3250
Phone
(210) 570-5302
Fax
(210) 957-7242
NPI assigned
Jan 24, 2022
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X NU Primary

Addresses

Primary practice location

12702 Toepperwein Rd Ste 209
Live Oak, TX 78233-3250

Mailing address

12702 Toepperwein Rd Ste 209
Live Oak, TX 78233-3250
Phone (210) 387-2756

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

Practice roles

OrganizationSpecialtyStatusNew patients
True Legacy Group, LLC CurrentSince Mar 6, 2022 Accepting new patients
W2020 Vision-DT, LLC CurrentSince Feb 1, 2022 Accepting new patients
W2020 Vision LLC Current Accepting new patients

Locations

12702 Toepperwein Rd
Ste 209
Live Oak, TX 78233
Phone (210) 570-5302

Organizations & group practices 3

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": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1649922394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 209",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333250",
            "telephone_number": "210-387-2756",
            "fax_number": "210-957-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 209",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333250",
            "telephone_number": "210-570-5302",
            "fax_number": "210-957-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "LIANE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.