Diaja Parker, BS, RDMS, RVT

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

102663 Issued in CA

Practice address

121 S Canal St Ste B
Carlsbad, NM 88220-5735

Phone

(725) 221-0589

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• Poetry in Motion Ultrasound, LLC

  • Vascular Sonography Radiologic Technologist
  • Carlsbad, NM
  • NPI 1194441444
  NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1831865146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N 4TH ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203870",
            "telephone_number": "725-221-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S CANAL ST STE B",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205735",
            "telephone_number": "725-221-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DIAJA",
        "credential": "BS, RDMS, RVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NM",
            "license": "DMS00461",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NM",
            "license": "VS00277",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "102663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Ozzello
• Elsa A Paez, COTA/L
• Ram K Pai, M.D.
• Devonna Palmer
• Changmin Park
• Jennifer Louise Parraz, LCSW
• Pecos Cyber Academy
• Pecos Valley of New Mexico LLC
• Pecos Valley of New Mexico, LLC
• Pecos Valley of New Mexico, LLC

• Diagnostic Ultrasound Physician in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Diagnostic Ultrasound Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.