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CRYSTAL ROSE PARKER
NPI 1104414705
Nurse Practitioner - Psychiatric/Mental Health in Fort Irwin, CA

Active since January 08, 2021
390 NORTH LOOP RD, FORT IRWIN, CA 92310(760) 383-5155 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2022, Jan 8, 2021 (2 updates tracked since 2021).

About Crystal Rose Parker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL ROSE PARKER (NPI 1104414705) is an individual psychiatric/mental health provider in Fort Irwin, California, licensed in Arizona (251943) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1104414705
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCRYSTAL ROSE PARKER
Location Address390 NORTH LOOP RDFort Irwin, CA 92310
Mailing AddressPo Box 10621Fort Irwin, CA 92310-0621
Phone(760) 383-5155
Sole ProprietorNo
Enumeration DateJanuary 8, 2021
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1104414705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 251943
Also ListedRegistered NurseTaxonomy 163W00000X · License 329268 (NC)
390 NORTH LOOP RD, Fort Irwin, CA 92310
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LOC VINH DANG DDS
Dentist (Pediatric Dentistry)
390 NORTH LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (760) 383-5289
ELIA DONNELLY LCSW
Social Worker (Clinical)
390 NORTH LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (760) 383-5289
DR. ELLIOT ROBERTO DANO MD
Internal Medicine
390 NORTH LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (760) 383-5289
MRS. KAHALIA TUNISHA ANDERSON
Social Worker (Clinical)
390 NORTH LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (760) 380-7171
MR. LAWRENCE MICHAEL WESGAITES III LCSWA, LCDCI
Social Worker (Clinical)
390 NORTH LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (760) 362-3030
KATIE A BULL OTD, OTR/L
Occupational Therapist
390 NORTH LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (866) 957-9224
DR. ADAM BAILEY DUNCAN DO
Emergency Medicine
390 NORTH LOOP RD
FT IRWIN, CA 92310
San Bernardino County (760) 383-5289
ALAN YAM DMD
Dentist
390 NORTH LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (760) 383-5289

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Parker's NPI number?

The NPI number for Crystal Parker is 1104414705. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Crystal Parker located?

Crystal Parker practices at 390 North Loop Rd, Fort Irwin, CA 92310. The listed phone number is (760) 383-5155.

What is Crystal Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Crystal Parker was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.