Clinten Lee Parker, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

074452 Issued in NC

Practice address

3710 Bristolwood CT
Grimesland, NC 27837-9269

Phone

(252) 916-6080

NPI assigned

May 9, 2007

Last updated

Oct 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne Memorial Hospital IncGroup PAC ID 3971409079, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wayne Memorial Hospital Inc

  dba UNC Health Wayne

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462
  Medicare reassignment Care Compare group NPD
• Sampson Regional Medical Services, LLC

  • Specialist
  • Clinton, NC
  • NPI 1588780902
  Medicare reassignment NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Whitehurst Anesthesia P a

  • Certified Registered Nurse Anesthetist
  • Kinston, NC
  • NPI 1073891008

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sampson Regional Medical Services LLC

  • Anesthesiology Physician
  • Clinton, NC
  • NPI 1801086558

  Nurse Anesthetist, Certified Registered

  NPD
• Wayne Health Physicians

  • Clinic/Center
  • Goldsboro, NC
  • NPI 1396978169
  NPD
• Wayne Memorial Hospital Inc

  • Psychiatric Hospital Unit
  • Goldsboro, NC
  • NPI 1215105713
  NPD
• Lenoir Memorial Hospital, Incorporated

  dba Ekg Eeg

  • Cardiology Technician
  • Kinston, NC
  • NPI 1013957414
  NPD (past)
• Lenoir Memorial Hospital, Incorporated

  dba Certified Registered Nurse Anesthetist

  • Certified Registered Nurse Anesthetist
  • Kinston, NC
  • NPI 1679517296

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wayne Memorial Hospital Inc

  dba UNC Health Wayne

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462
  Care Compare affiliation

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1871707042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 BRISTOLWOOD CT",
            "city": "GRIMESLAND",
            "state": "NC",
            "postal_code": "278379269",
            "telephone_number": "252-916-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 BRISTOLWOOD CT",
            "city": "GRIMESLAND",
            "state": "NC",
            "postal_code": "278379269",
            "telephone_number": "252-916-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CLINTEN",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "074452",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "169240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00601414",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052941",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Grimesland, NC
• Providers in Grimesland, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.