Lori Ann Parker, NP C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP 660A Issued in ID

Practice address

SHC 100
Byu Idaho
Rexburg, ID 83460-2010

Phone

(208) 496-1300

Fax

(208) 496-1306

NPI assigned

Dec 13, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Byu Idaho Student Health Center

  • Clinic/Center
  • Rexburg, ID
  • NPI 1538347034
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760467625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 E 400 N",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425523",
            "telephone_number": "208-745-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHC 100",
            "address_2": "BYU IDAHO",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834602010",
            "telephone_number": "208-496-1300",
            "fax_number": "208-496-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP 660A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Darryl Owen, PHARMD
• Laura Jeanne Pacini, AU.D.
• Michael M Packer, M.D.
• Sarah Panting, M.S., CCC-SLP
• Bryce Parker, OT
• Natalie Parker, PTA
• Daniel Parkinson, DC
• Peak Medical Idaho Operations LLC
• Whitney Pedersen
• Jennifer Peine, LMSW

• Nurse Practitioner in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.