Kaylee Charice Parker

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

105641210 Issued in SC

Practice address

120 E 5TH North St # 120a
Summerville, SC 29483-6822

Phone

(843) 460-2605

NPI assigned

Jun 4, 2022

Sex

Female

Sole proprietor

No

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": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1992444129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 5TH NORTH ST # 120A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836822",
            "telephone_number": "843-460-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 5TH NORTH ST # 120A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836822",
            "telephone_number": "843-460-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KAYLEE",
        "middle_name": "CHARICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "105641210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Primary Care Physicians,LLC
• Palmetto Rehab of Charleston LLC
• Jennifer Ruth Palo, FNP
• Pumla Pamla-Gutter, MPH
• Sun Young Park, DO
• Stephen Parker, D.M.D., PH.D.
• Natasha Lynne Parks
• Roberta Renee Parramore
• Julia M Parrish, LPC
• Jacob Parsons, AU.D

• Behavior Technician in Summerville, SC
• Providers in Summerville, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.