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CARSON PARKS
NPI 1124523782
Student in an Organized Health Care Education/Training Program in Pocatello, ID

Active since March 27, 2018
2225 POCATELLO CREEK RD APT A, POCATELLO, ID 83201(530) 209-6873 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carson Parks NPPES

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

CARSON PARKS (NPI 1124523782) is an individual student in an organized health care education/training program in Pocatello, Idaho and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1124523782
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARSON PARKS
Location Address2225 POCATELLO CREEK RD APT APocatello, ID 83201-2152
Mailing Address2225 Pocatello Creek Rd Apt APocatello, ID 83201-2152 · (530) 209-6873
Phone(530) 209-6873
Sole ProprietorNo
Enumeration DateMarch 27, 2018
✔ NPI 1124523782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
2225 POCATELLO CREEK RD APT A, Pocatello, ID 83201
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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 Carson Parks's NPI number?

The NPI number for Carson Parks is 1124523782. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Carson Parks located?

Carson Parks practices at 2225 Pocatello Creek Rd Apt A, Pocatello, ID 83201. The listed phone number is (530) 209-6873.

What is Carson Parks's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Carson Parks was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.