Theda Parker

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1100 W Laurel Ave
Lompoc, CA 93436-5155

Phone

(805) 737-7073

NPI assigned

Dec 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1720147564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W LAUREL AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934365155",
            "telephone_number": "805-737-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W LAUREL AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934365155",
            "telephone_number": "805-737-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "THEDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Eye Surgeons, a California Professional Medical Corporation
• Pacific Eye Surgeons, a California Professional Medical Corporation
• Lillian H Pak, FNP-C
• Santiago Palacios II
• Perla S Paniagua, BATCHLOR'S
• Liberty Partridge, M.D.
• Karen Pata, RD
• Path to Peace, a Licensed Clinical Social Worker, P.C.
• Katrina Payne
• Izayah Tristan Pedroza

• Social Worker in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.