Active NPI
Jordan Cummins Parker
- Behavior Analyst
- Milton, FL
National Provider Identifier
1972135036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-35879
- Practice address
- 5570 Galahad TRL
Milton, FL 32583-5663 - Phone
- (601) 862-5844
- NPI assigned
- Feb 6, 2020
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-35879 | Primary |
Addresses
Primary practice location
5570 Galahad TRL
Milton, FL 32583-5663
Mailing address
5570 Galahad TRL
Milton, FL 32583-5663
Phone (601) 862-5844
Other practice location 1
14041 Burnhaven Dr Ste 150
Burnsville, MN 55337-4442
Phone (952) 500-2206
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LBA0853 | Other | MN | LBA |
| 1-19-35879 | Other | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | JordanParker | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Health Services Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1972135036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5570 GALAHAD TRL",
"city": "MILTON",
"state": "FL",
"postal_code": "325835663",
"telephone_number": "601-862-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5570 GALAHAD TRL",
"city": "MILTON",
"state": "FL",
"postal_code": "325835663",
"telephone_number": "601-862-5844"
}
],
"practiceLocations": [
{
"address_1": "14041 Burnhaven Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553374442",
"country_code": "US",
"telephone_number": "952-500-2206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUMMINS PARKER",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-35879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LBA",
"identifier": "LBA0853",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "1-19-35879",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "JordanParker",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "44 Barnsley Village Drive",
"city": "Adairsville",
"state": "GA",
"country_code": "US",
"postal_code": "30103",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.