Active NPI
Kimberly Parker
- Social Worker
- Euless, TX
National Provider Identifier
1932512993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 58988
- Practice address
- 610 S Industrial Blvd
Euless, TX 76040-5048 - Phone
- (817) 888-1959
- Fax
- (817) 684-0233
- NPI assigned
- Jun 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 58988 | TX | Primary |
Addresses
Primary practice location
610 S Industrial Blvd
Euless, TX 76040-5048
Mailing address
405 Silver Oak Dr
Grapevine, TX 76051-6280
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 |
|---|---|---|---|
| 58988 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402185600000",
"number": "1932512993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 SILVER OAK DR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760516280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S INDUSTRIAL BLVD",
"city": "EULESS",
"state": "TX",
"postal_code": "760405048",
"telephone_number": "817-888-1959",
"fax_number": "817-684-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-08",
"last_updated": "2014-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "58988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euless, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.