DR. SANDRA KAY PARKER (NPI# 1568447431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568447431 |
| Entity Type | Individual |
| Full Name | DR. SANDRA KAY PARKER |
| Credential | M.D. |
| Practice Address |
1101 S Main St Room 2419 Fort Worth TX 76104-4802 |
| Mailing Address |
1155 Fox Hunt Trl Willow Park TX 76087-3113 |
| Practice Telephone | 8173215305 |
| Practice Fax Number | 8173215331 |
| Mailing Telephone | 3618165285 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2009-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | L14280R | LA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | L4626 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 196335702 | 05 | |
| MEDICAID GROUP TPI | 0831497-03 | 01 | |
| TX | MEDICARE GROUP | PH0004 | 01 |
| TX | MEDICAID GROUP TPI | 0228082-01 | 01 |
| TX | MEDICARE GROUP | 00J33T | 01 |
| TX | MEDICAID GROUP TPI | 0615978-01 | 01 |
| TX | MEDICAID GROUP TPI | 0228173-07 | 01 |
| TX | MEDICAID GROUP TPI | 0650970-01 | 01 |
| TX | MEDICAID GROUP TPI | 0228173-05 | 01 |
| TX | MEDICARE GROUP | 00J32T | 01 |
| TX | MEDICAID GROUP TPI | 0174666-03 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427496090 | Sandra Ann Parker | Dietitian, Registered | 560 W. Mitchell Street, Suite 160, Petoskey, MI 49770 | 2013-06-05 |
| 1841516705 | Sandra Parker | Counselor | 3035 Nw 63rd St Ste 201, Oklahoma City, OK 73116-3606 | 2010-04-15 |
| 1508004037 | Sandra Ann Parker | Contractor | 3604 Six Oaks Ct, Decatur, GA 30034-4782 | 2009-01-21 |
| 1417932047 | Sandra Lizbeth Parker | Dentist | 807 E Katella Ave, Orange, CA 92867-4920 | 2005-12-06 |
| 1538319637 | Sandra K Parker | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2008-09-25 |
| 1922201326 | Sandra Ann Parker | Physical Therapy Assistant | 715 W Lake Lansing Rd, East Lansing, MI 48823-1445 | 2007-06-06 |
| 1851414452 | Sandra W Parker | Social Worker | 380 N Old Woodward, Suite 200, Birmingham, MI 48009 | 2007-04-09 |
| 1346277068 | Sandra Salcedo Parker | Nurse Practitioner | 5673 Peachtree Dunwoody Rd Ne, Suite 300, Atlanta, GA 30342-1731 | 2006-06-27 |
| 1508806159 | Sandra Parker | Nurse Practitioner | 123 Franklin Corner Rd, Ste 214 Lawrence Obgyn Associates, Lawrenceville, NJ 08648-2526 | 2006-06-08 |
| 1982606976 | Sandra Parker | Psychiatry & Neurology | 5800 Southland Dr, Mobile, AL 36693-3313 | 2005-08-10 |
| Street Address |
1101 S MAIN ST ROOM 2419 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033722541 | Hang Nguyen | Registered Nurse | 1101 S Main St, Fort Worth, TX 76104-4802 | 2020-08-25 |
| 1477917334 | Brandyce Tennison | Registered Nurse | 1101 S Main St, Fort Worth, TX 76104-4802 | 2016-04-07 |
| 1447643861 | Alyssa Clader | Licensed Vocational Nurse | 1101 S Main St, Suite 1350, Fort Worth, TX 76104-4802 | 2015-03-10 |
| 1831590520 | Tarrant County Public Health Department Pmc | Exclusive Provider Organization | 1101 S Main St, Ste 1500b, Fort Worth, TX 76104-4802 | 2014-09-12 |
| 1124435052 | Merilyn Span | Licensed Vocational Nurse | 1101 S Main St, Suite 1350, Fort Worth, TX 76104-4802 | 2014-07-11 |
| 1275949521 | Cheryl Loudermilk | Registered Nurse | 1101 S Main St, Suite 1300, Fort Worth, TX 76104-4802 | 2014-07-08 |
| 1821403262 | Anita Colbert | Licensed Vocational Nurse | 1101 S Main St, Fort Worth, TX 76104-4802 | 2014-06-24 |
| 1669887170 | Marcelina Dorotea Nunez | Licensed Vocational Nurse | 1101 S Main St, Ste 1500-b, Fort Worth, TX 76104-4802 | 2014-06-23 |
| 1669887253 | Carol Lindie Finney-gibbins | Registered Nurse | 1101 S Main St, Fort Worth, TX 76104-4802 | 2014-06-23 |
| 1356755029 | Donna Williams | Licensed Vocational Nurse | 1101 S Main St, Fort Worth, TX 76104-4802 | 2014-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1952870354 | Nancy Carolina Nicoloso | Family Medicine | 6302 Lake Worth Blvd Ste A3963, Fort Worth, TX 76135-3607 | 2018-11-15 |
| 1245717586 | Julia Dubose | Family Medicine | 4100 Heritage Trace Pkwy Ste 116, Fort Worth, TX 76244 | 2018-07-19 |
| 1609307115 | Yara Hamade Gonzales | Family Medicine | 4701 Bryant Irvin Rd, Fort Worth, TX 76132-3603 | 2017-03-26 |
| 1558732321 | Andres Morgado Perez | Family Medicine | 1325 Pennsylvania Ave Ste 750, Fort Worth, TX 76104-2168 | 2015-10-19 |
| 1114304805 | Davis Wellness Ltd LLP | Family Medicine | 3750 S. University Dr., Suite 201, Fort Worth, TX 76109-3701 | 2015-05-01 |
| 1902298417 | Jack Lynwood Judson, Md | Family Medicine | 1800 Malibar Rd, Fort Worth, TX 76116-1834 | 2015-02-21 |
| 1104243468 | Henry Dollahite | Family Medicine | 6205 Locke Ave, Fort Worth, TX 76116-4636 | 2014-03-25 |
| 1447676689 | Janet Shackelford | Family Medicine | 5001 Golden Triangle Blvd, # 1024, Fort Worth, TX 76244 | 2014-03-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.