Individual provider Active NPI

Mary Jones Parker, MS, CPNP

  • Pediatric Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1942338124
Registry record updated Mar 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380225-1 Issued in NY
Practice address
180 6TH Ave
Lutheran FHCN School Health Program
Brooklyn, NY 11217-3507
Phone
(718) 230-5707
Fax
(718) 230-7546
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F380225-1 NY Primary
Student Health Clinic/Center 261QS1000X F380225-1 NY

Addresses

Primary practice location

180 6TH Ave
Lutheran FHCN School Health Program
Brooklyn, NY 11217-3507

Mailing address

222 Seeley St
Brooklyn, NY 11218-1208
Phone (718) 871-0660

Other names 1

  • Ms. Mary Jones Parker 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
Certified Pediatric Nurse Practitioner, Master of Science

State licenses

LicenseStateTypeSpecialty
F380225-1NYMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238284800000",
    "number": "1942338124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SEELEY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181208",
            "telephone_number": "718-871-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 6TH AVE",
            "address_2": "LUTHERAN FHCN SCHOOL HEALTH PROGRAM",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173507",
            "telephone_number": "718-230-5707",
            "fax_number": "718-230-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARY",
        "middle_name": "JONES",
        "name_prefix": "Ms.",
        "credential": "MS, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2009-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380225-1",
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NY",
            "license": "F380225-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JONES PARKER",
            "prefix": "MS.",
            "credential": "RN MS CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2009; 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.