Fred J Parrish, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

312049-1 Issued in NY

Practice address

177 Artist Lake Dr
Middle Island, NY 11953-2315

Phone

(631) 512-8780

Fax

(631) 775-8497

NPI assigned

Apr 16, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1942643309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 ARTIST LAKE DR",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532315",
            "telephone_number": "631-512-8780",
            "fax_number": "631-775-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 ARTIST LAKE DR",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532315",
            "telephone_number": "631-512-8780",
            "fax_number": "631-775-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "FRED",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "312049-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Ostop, LMSW
• Jason Otterbeck, CASAC-T
• Diamantina Dina Pagiazitis
• Michelle Palladini
• Vasiliki Parks
• Kristen Anna Pastore, M.A., ED.
• Gina Patti, M.A.
• Ashley Dawn Pav, PT, DPT
• Emilia Pawelski
• Ronald John Peckholdt, LCSW

• Licensed Practical Nurse in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.