MADELYN M PARKER (NPI# 1134130453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134130453 |
| Entity Type | Individual |
| Full Name | MADELYN M PARKER |
| Credential | FPMHNP |
| Practice Address |
1415 College Dr Meridian MS 39307-5345 |
| Mailing Address |
Po Box 18679 Hattiesburg MS 39404-8679 |
| Practice Telephone | 6014834821 |
| Practice Fax Number | 6014850223 |
| Mailing Telephone | 6017011906 |
| Mailing Fax Number | 6017051952 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2017-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R609927 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R609927 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215303037 | Madelyn Parker | Counselor | 3285 Claremont Way, Napa, CA 94558-3313 | 2015-08-16 |
| Street Address |
1415 COLLEGE DR |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273885 | Stephanie L Cooper | Psychologist | 1415 College Dr, Meridian, MS 39307-5345 | 2005-11-23 |
| 1528546363 | Constance Bradley | Nurse Practitioner | 1415 College Dr, Meridian, MS 39307-5345 | 2018-08-03 |
| 1295246551 | Jessica Pettis Curry | Registered Nurse | 1415 College Dr, Meridian, MS 39307-5345 | 2017-10-13 |
| 1164931952 | Region Ten State of Ms | Clinic/Center | 1415 College Dr, Meridian, MS 39307-5345 | 2017-09-25 |
| 1598297392 | Aurthur Goodwin | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2017-03-30 |
| 1528505021 | Tracy Smith | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2017-01-23 |
| 1033563432 | Jessica Mccoy | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2016-04-21 |
| 1780068056 | Amelia Margaret Kelley | Nurse Practitioner | 1415 College Dr, Meridian, MS 39307-5345 | 2015-07-16 |
| 1427446558 | Laquita Bush | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2014-12-23 |
| 1952707267 | Lasherish Derrick | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2014-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
| 1407460157 | Kimberly N Lacap | Nurse Practitioner | 5961 Hwy 145, Meridian, MS 39301-9761 | 2020-09-01 |
| 1134733728 | Courtney S Dubose | Nurse Practitioner | 8252 Lizelia Rd, Meridian, MS 39305-8511 | 2020-09-01 |
| 1740890698 | Kimberly Parker | Nurse Practitioner | 4708 Hickory Hills Cir, Meridian, MS 39305-2440 | 2020-08-05 |
| 1396369138 | Tracy Ann Roberts | Nurse Practitioner | 3639 S Arno Ave, Meridian, ID 83642-1396 | 2020-06-06 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1285293639 | Lindsey Sand | Nurse Practitioner | 2347 E Gala St # 150, Meridian, ID 83642-4881 | 2019-06-10 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.