Active NPI
Stephanie Parker
- Psychologist
- Shelbyville, KY
National Provider Identifier
1780718064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 610
- Practice address
- 250 Alpine Dr
Shelbyville, KY 40065-8880 - Phone
- (502) 589-1100
- Fax
- (502) 589-8771
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 610 | KY | Primary |
Addresses
Primary practice location
250 Alpine Dr
Shelbyville, KY 40065-8880
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Other names 1
- Stephanie Siegel
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1780718064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W MUHAMMAD ALI BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 ALPINE DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658880",
"telephone_number": "502-589-1100",
"fax_number": "502-589-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "SIEGEL",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.