DR. NORMAN A PARKER JR. (NPI# 1104472604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104472604 |
| Entity Type | Individual |
| Full Name | DR. NORMAN A PARKER JR. |
| Practice Address |
1018 Streamway Dr Spring Lake NC 28390-1966 |
| Practice Telephone | 9109779311 |
| Mailing Telephone | 9109779311 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
NC | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 Kooler Cir, Fayetteville, NC 283054503 | 9109779311 |
| Street Address |
1018 STREAMWAY DR |
| City | SPRING LAKE |
| State | NC |
| Zip Code | 28390-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296208 | Morgan Lubawski | Behavior Technician | 1018 N Bragg Blvd Suite A, Spring Lake, NC 28390 | 2019-10-14 |
| 1285281451 | Cassandra Lynetta Burney | Nurse Practitioner | 104 Lake Ave, Spring Lake, Nc 28390, Spring Lake, NC 28390 | 2019-08-22 |
| 1861956500 | Victoria Denise Bland | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390 | 2019-01-28 |
| 1184102584 | Gregory Scott Seese | Psychologist | 1212 Micahs Way N, Spring Lake, NC 28390 | 2018-07-30 |
| 1174034052 | Danielle Nicole Lord | Specialist | 401 Lillington Hwy N 210, Spring Lake, NC 28390 | 2017-10-18 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1699210690 | Rhea Lorena Jimenez | Nurse Practitioner | 517b Hwy 210 N, Spring Lake, NC 28390 | 2016-12-29 |
| 1841641883 | Parise Exquisite | Prosthetic/Orthotic Supplier | 401 Nc-210, Spring Lake, NC 28390 | 2016-06-30 |
| 1083037444 | Dr. Vincent Vissichelli & Associates, D.m.d., P.a. | Dentist | 2980 Ray Road, Spring Lake, NC 28390 | 2014-01-21 |
| 1376820761 | Jamie Gilles | Pharmacist | 512 Villag Lake Court Apt # 201, Spring Lake, NC 28390 | 2011-11-14 |
| Find all providers in zip 28390 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726658 | Linda Brooks | Nutritionist | 309 Morris Avenue, Suite F, Spring Lake, NJ 07762-1533 | 2020-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251708 | Jbg Consultants LLC | Nutritionist | 2119 Englewood Ave, Durham, NC 27705-4069 | 2020-10-09 |
| 1972119873 | Eric Tucker | Nutritionist | 2609 Discovery Dr Ste 125, Raleigh, NC 27616-1905 | 2020-09-17 |
| 1104432160 | Emily Bordeleau Cannon | Nutritionist | 721-d Malcom Blvd, Rutherford College, NC 28671 | 2020-09-16 |
| 1316565260 | Fenix Holistic, Pllc | Nutritionist | 20 Farrow Ct, Linden, NC 28356-1007 | 2020-07-08 |
| 1952808669 | Susana Analia Camarasa | Nutritionist | 14928 Old Vermillion Dr, Huntersville, NC 28078-5337 | 2018-04-09 |
| 1487153920 | Arielle Colette Larmondra | Nutritionist | 14508 Maclauren Ln, Huntersville, NC 28078-3317 | 2018-02-11 |
| 1831605393 | Mandana La Greca | Nutritionist | 15815 Delancey Ln, Huntersville, NC 28078-5910 | 2017-12-20 |
| 1972059913 | Susan Tyler Wallace Harding | Nutritionist | 2909 Manor Rd, Charlotte, NC 28209-2247 | 2016-08-30 |
| 1437602562 | Danielle Ferreira | Nutritionist | 106 Black Bear Way, South Mills, NC 27976-9574 | 2016-07-25 |
| 1477902591 | Sharlene T Smith | Nutritionist | 102 S Dalton St, Gastonia, NC 28052-3757 | 2016-06-09 |
| Find all providers with the same taxonomy | ||||
| City | SPRING LAKE |
| Zip Code | 28390 |
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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.