Tesla Anne Parker, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9648023-3102 Issued in UT

Practice address

3875 Stadium Way Dept 3903
Ogden, UT 84408-3903

Phone

(801) 703-7772

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tesla Anne Walker Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1750152575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 W 2400 N",
            "city": "CORINNE",
            "state": "UT",
            "postal_code": "843079717",
            "telephone_number": "801-703-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 STADIUM WAY DEPT 3903",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844083903",
            "telephone_number": "801-703-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TESLA",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "9648023-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESLA",
            "last_name": "WALKER",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James R Park, D.C.
• Clifford Parker, OD
• Dalin Parker
• Eileen Marie Parker
• Paije Parker
• Trey Parker, D.M.D.
• Candice Parkinson
• Jenna Parkinson
• Caleb John Parry, DO
• Monette Parry, FNP

• Registered Nurse in Ogden, UT
• Providers in Ogden, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.