Individual provider Active NPI

Jill Parkin, B.C.B.A.

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1750823977
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-02-0835 Issued in MA
Practice address
5209 Duval Rd
Austin, TX 78727-6614
Phone
(512) 423-3225
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-02-0835 MA Primary

Addresses

Primary practice location

5209 Duval Rd
Austin, TX 78727-6614

Mailing address

1723 Maize Bend Dr
Austin, TX 78727-3434
Phone (617) 840-6241

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

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1750823977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 MAIZE BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273434",
            "telephone_number": "617-840-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 DUVAL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276614",
            "telephone_number": "512-423-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKIN",
        "first_name": "JILL",
        "credential": "B.C.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-02-0835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.