Individual provider Active NPI

Kirk D Parry, B.S.

  • Case Manager/Care Coordinator
  • Buffalo, WY
National Provider Identifier
1750671699
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
521 W Lott St
Buffalo, WY 82834-1642
Phone
(307) 684-5531
Fax
(307) 684-2912
NPI assigned
Apr 12, 2011
Last updated
Mar 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X WY
Case Manager/Care Coordinator 171M00000X WY Primary

Addresses

Primary practice location

521 W Lott St
Buffalo, WY 82834-1642

Mailing address

521 W Lott St
Buffalo, WY 82834-1642
Phone (307) 684-5531

Other identifiers 1

IdentifierTypeStateIssuer
130822000MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1750671699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W LOTT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341642",
            "telephone_number": "307-684-5531",
            "fax_number": "307-684-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W LOTT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341642",
            "telephone_number": "307-684-5531",
            "fax_number": "307-684-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRY",
        "first_name": "KIRK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130822000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.