Individual provider Active NPI

Rebecca Ann Parker, APRN, FNP-C

  • Family Nurse Practitioner
  • Brownsboro, TX
National Provider Identifier
1740709625
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134267 Issued in TX
Practice address
14332 State Highway 31 E
Brownsboro, TX 75756-6749
Phone
(903) 852-3663
NPI assigned
Sep 12, 2017
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134267 TX Primary

Addresses

Primary practice location

14332 State Highway 31 E
Brownsboro, TX 75756-6749

Mailing address

323 Forest Hills Dr
Hallsville, TX 75650-5022
Phone (903) 720-7746

Other practice location 1

104 S Tyler St
Big Sandy, TX 75755-2470
Phone (903) 963-2233

Other practice location 2

488 West Main St
Suite 101
Van, TX 75790-2888
Phone (903) 963-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208000008 TX Practitioner - Nurse Practitioner 7719244250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

1806 E End Blvd N
Suite 1300
Marshall, TX 75670-0734
Phone (903) 757-8878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. CurrentSince Sep 1, 2025 Accepting new patients
Van Family Medical Family PastSince Mar 27, 2022 Accepting new patients

Locations

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

1402 N 4th St
Longview, TX 75601
Phone (903) 234-9992

1806 E End Blvd N
Marshall, TX 75670
Phone (903) 758-2746

1806 E End Blvd N
Ste 1300
Marshall, TX 75670
Phone (903) 757-8878

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Organizations & group practices 2

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1740709625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 FOREST HILLS DR",
            "city": "HALLSVILLE",
            "state": "TX",
            "postal_code": "756505022",
            "telephone_number": "903-720-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14332 STATE HIGHWAY 31 E",
            "city": "BROWNSBORO",
            "state": "TX",
            "postal_code": "757566749",
            "telephone_number": "903-852-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 S Tyler St",
            "address_purpose": "LOCATION",
            "city": "Big Sandy",
            "state": "TX",
            "postal_code": "757552470",
            "country_code": "US",
            "telephone_number": "903-963-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "488 West Main St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Van",
            "state": "TX",
            "postal_code": "757902888",
            "country_code": "US",
            "telephone_number": "903-963-2233",
            "fax_number": "903-913-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN,  FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsboro, TX

Sources for this page

Verify at the official NPI Registry.