PARKER SOUTHERLAND
NPI 1477290955
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Q: What is Parker Southerland's NPI number?

The NPI number for Parker Southerland is 1477290955. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Q: What is Parker Southerland's specialty?

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

Active since May 17, 2022PECOS Enrolled

3601 4TH ST STOP 8340, LUBBOCK, TX 79430(806) 743-2295 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Parker Southerland NPPES

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

PARKER SOUTHERLAND (NPI 1477290955) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477290955

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePARKER SOUTHERLAND

Location Address3601 4TH ST STOP 8340Lubbock, TX 79430-8340

Mailing Address3601 4th St Stop 8340Lubbock, TX 79430-8340

Phone(806) 743-2295

Sole ProprietorNo

Enumeration DateMay 17, 2022

NPPES CertifiedMay 17, 2022

✔ NPI 1477290955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3601 4TH ST STOP 8340, Lubbock, TX 79430

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Parker Southerland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 10

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

AVERY CLAIRE WILLIAMS MD

Student in an Organized Health Care Education/Training Program