Jeffery Parker

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

120 N Carolina St
New Roads, LA 70760

Phone

(225) 638-8449

NPI assigned

Sep 30, 2015

Sex

Male

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

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1669842829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N CAROLINA ST",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707603604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N CAROLINA ST",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "70760",
            "telephone_number": "225-638-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JEFFERY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-30",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Lady of the Lake Physician Group LLC
• Our Lady of the Lake Physician Group LLC
• Our Lady of the Lake Physician Group LLC
• Alaina Ourso, RN
• Richard Gerard Palecki, D.P.M.
• Andrew Michael Parks, M.D.
• Anna Fortunato Payne, PTA
• Quentin Payne
• Pediatric Group of Acadiana, LLC (Oxbow Family Practice)
• Performance Home Medical Equipment, LLC

• Case Manager/Care Coordinator in New Roads, LA
• Providers in New Roads, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.