Active NPI
Parker Family Clinic PLLC
- Family Nurse Practitioner
- Muskogee, OK
National Provider Identifier
1669910063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PARKER FAMILY CLINIC PLLC
- Practice address
- 3300 Chandler Rd
Ste 105
Muskogee, OK 74403-4957 - Phone
- (918) 441-1365
- NPI assigned
- Feb 6, 2017
- Last updated
- Feb 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gay L Parker
- Title
- Owner
- Phone
- (918) 441-1365
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3300 Chandler Rd
Ste 105
Muskogee, OK 74403-4957
Mailing address
3300 Chandler Rd
Ste 105
Muskogee, OK 74403-4957
Phone (918) 441-1365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1143 N Main St
Muskogee, OK 74401
Phone (918) 681-3333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Muskogee, OK
- NPI 1104992536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486339200000",
"number": "1669910063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 CHANDLER RD",
"address_2": "STE 105",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744034957",
"telephone_number": "918-441-1365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 CHANDLER RD",
"address_2": "STE 105",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744034957",
"telephone_number": "918-441-1365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKER FAMILY CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-06",
"last_updated": "2017-02-06",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "GAY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-441-1365"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.