Individual provider Active NPI

Teeare Kellie Fields-Parker, LPN

  • Licensed Practical Nurse
  • Gulfport, MS
National Provider Identifier
1942547641
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
335925 Issued in MS
Practice address
12100 Harmony Cir
Gulfport, MS 39503-9534
Phone
(330) 937-8313
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN285379 PA
Licensed Practical Nurse 164W00000X 335925 MS Primary

Addresses

Primary practice location

12100 Harmony Cir
Gulfport, MS 39503-9534

Mailing address

12100 Harmony Cir
Gulfport, MS 39503-9534
Phone (330) 937-8313

Other practice location 1

508 Ridge Ave
Carnegie, PA 15106-2725
Phone (412) 969-6911

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

LicenseStateTypeSpecialty
335925MSMDLicensed Practical Nurse
PN285379PAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1942547641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 HARMONY CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039534",
            "telephone_number": "330-937-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 HARMONY CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039534",
            "telephone_number": "330-937-8313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Carnegie",
            "state": "PA",
            "postal_code": "151062725",
            "country_code": "US",
            "telephone_number": "412-969-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS-PARKER",
        "first_name": "TEEARE",
        "middle_name": "KELLIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN285379",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "335925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.