STACY PARKER NPI 1124703186

NPI Information

  • NPI: 1124703186
  • Provider Name: STACY PARKER
  • Classification: Nurse Practitioner - 363LN0000X
  • Specialization: Neonatal
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 701 W 5TH ST STE 2C30L
    ODESSA, TX
    ZIP 79763
  • Phone: (432) 620-1041

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NPI Details

Stacy Parker is a neonatal nurse practitioner in Odessa, TX. Stacy Parker NPI is 1124703186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 W 5TH ST STE 2C30L
ODESSA, TX
ZIP 79763-206
Phone: (432) 620-1041

The NPI 1124703186 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2023 and was last updated on 2/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LN0005XNurse PractitionerNeonatal, Critical Care1051113TEXASNo
2363LN0000XNurse PractitionerNeonatal1051113TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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