Individual provider Active NPI

Marsha Ellen Parsons, PHD

  • Psychologist
  • Knoxville, TN
National Provider Identifier
1841346210
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P2603 Issued in TN
Practice address
10415 Hickory Path Way Ste 104
Knoxville, TN 37922-0701
Phone
(865) 661-2512
Fax
(865) 951-2092
NPI assigned
Jan 26, 2007
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P2603 TN Primary

Addresses

Primary practice location

10415 Hickory Path Way Ste 104
Knoxville, TN 37922-0701

Mailing address

10415 Hickory Path Way Ste 104
Knoxville, TN 37922-0701
Phone (865) 661-2512

Other identifiers 1

IdentifierTypeStateIssuer
4091666OtherTNBCBS

Other names 1

  • Marsha Parsons Burdette Former name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P2603TNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1841346210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 HICKORY PATH WAY STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220701",
            "telephone_number": "865-661-2512",
            "fax_number": "865-951-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 HICKORY PATH WAY STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220701",
            "telephone_number": "865-661-2512",
            "fax_number": "865-951-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "MARSHA",
        "middle_name": "ELLEN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P2603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4091666",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHA",
            "last_name": "BURDETTE",
            "middle_name": "PARSONS",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.