Parker Medical Services, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

R865864 Issued in MS

Legal business name

PARKER MEDICAL SERVICES, LLC

Practice address

1060 Lisa LN
Terry, MS 39170-8092

Phone

(601) 278-2698

NPI assigned

Feb 3, 2017

Last updated

Feb 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Parker, NP-C

Title

Nurse Practitioner

Phone

(601) 278-2698

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488067200000",
    "number": "1851839435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 LISA LN",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391708092",
            "telephone_number": "601-278-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 LISA LN",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391708092",
            "telephone_number": "601-278-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-26",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-278-2698",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "R865864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Terry, MS
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• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; 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.