DR. BRENDA CAROL PARKER (NPI# 1871899062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871899062 |
| Entity Type | Individual |
| Full Name | DR. BRENDA CAROL PARKER |
| Credential | PH.D. |
| Practice Address |
815 John Harper Rd Unit 13 Pioneer Village KY 40165-7463 |
| Mailing Address |
815 John Harper Highway Ste 13 Pioneer Village KY 40165-7463 |
| Practice Telephone | (502) 504-5231 |
| Practice Fax Number | 5025045205 |
| Mailing Telephone | (502) 504-5231 |
| Mailing Fax Number | 5025045205 |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2017-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 129682 | KY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 129682 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PASSPORT GROUP ID | 50109798 | 01 | |
| KY | 7100315910 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558781815 | Brenda Lucille Parker | Counselor | 10004 Sunny Side Ln, Temple, TX 76502-5370 | 2014-04-24 |
| 1124458419 | Brenda Parker | Social Worker | 217 Lomax Ln, Elkview, WV 25071-7515 | 2013-11-22 |
| 1285985242 | Brenda Parker | Licensed Practical Nurse | 41 Prospect St, Homer, NY 13077-1027 | 2012-09-30 |
| 1265796973 | Brenda Parker | Home Health Aide | 1713 Benning Rd Ne # 23, Washington, DC 20002-7216 | 2012-06-27 |
| 1386946473 | Brenda Parker | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Ste 236, Henderson, NV 89052-4840 | 2010-11-23 |
| 1588822654 | Brenda Sue Parker | Physical Therapist | 6800 Indian Hills Dr, North Little Rock, AR 72116-5330 | 2008-05-27 |
| 1558570036 | Brenda Diana Parker | Nurse's Aide | 1260 Longneck Rd, Stout, OH 45684 | 2007-05-22 |
| 1487743795 | Brenda Marie Parker | Pharmacist | 3029 Dartmouth Dr, Lexington, KY 40517-1503 | 2006-10-12 |
| 1336622240 | Brenda Parker | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-09-07 |
| 1770921355 | Brenda Parker | Counselor | 1305 Mansfield St, Richland, WA 99352-3588 | 2013-06-05 |
| Street Address |
815 JOHN HARPER RD UNIT 13 |
| City | PIONEER VILLAGE |
| State | KY |
| Zip Code | 40165-7463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174061675 | Anne Miller | Clinical Neuropsychologist | 815 John Harper Rd Unit 13, Pioneer Village, KY 40165-7463 | 2017-02-03 |
| 1861798068 | Comprehensive Neuropsychological Services | Psychologist | 815 John Harper Rd Unit 13, Pioneer Village, KY 40165 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174061675 | Anne Miller | Clinical Neuropsychologist | 815 John Harper Rd Unit 13, Pioneer Village, KY 40165-7463 | 2017-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982126660 | Seigler Psychological Services | Clinical Neuropsychologist | 1136 S Park Dr Fl 2, Bowling Green, KY 42103-2446 | 2017-07-13 |
| 1598124661 | Brainworks LLC | Clinical Neuropsychologist | 101 Wind Haven Dr Ste 202a, Nicholasville, KY 40356-8035 | 2016-02-18 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1437393170 | Bradley Scott Folley | Clinical Neuropsychologist | 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241-2847 | 2009-04-24 |
| 1265689475 | Marilyn M. Wagner Ph.d., Psc | Clinical Neuropsychologist | 105a Crescent Ave, Louisville, KY 40206-1525 | 2008-08-20 |
| 1780865907 | Renewed Hope Counseling Center, Pllc | Clinical Neuropsychologist | 212 Hanna Pl, Frankfort, KY 40601-2719 | 2007-11-15 |
| 1619186467 | James Frederick Phifer | Clinical Neuropsychologist | 440 Breckenridge Lane Ste 124, Louisville, KY 40218 | 2007-05-21 |
| 1508916958 | Michael H Cecil | Clinical Neuropsychologist | 13293 Obannon Station Way, Louisville, KY 40223-4188 | 2007-01-10 |
| 1346399318 | Peter Judson Gager | Clinical Neuropsychologist | 3175 Custer Dr Ste 302b, Lexington, KY 40517-4023 | 2007-01-09 |
| 1861565210 | Lacey K Price | Clinical Neuropsychologist | 711 Millpond Rd, Lexington, KY 40514-1561 | 2006-11-15 |
| Find all providers with the same taxonomy | ||||
| City | PIONEER VILLAGE |
| Zip Code | 40165 |
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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.