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SHANNA PARKER
NPI 1740676659
Counselor - Professional in Rio Communities, NM

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
1103 VISTA DEL MONTE PL, RIO COMMUNITIES, NM 87002(505) 450-8965 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2024, Jul 8, 2024 (2 updates tracked since 2024).

About Shanna Parker NPPES

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

SHANNA PARKER (NPI 1740676659) is an individual professional provider in Rio Communities, New Mexico, licensed in New Mexico (CCMH0206361) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740676659
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNA PARKER
Location Address1103 VISTA DEL MONTE PLRio Communities, NM 87002-9515
Mailing Address1103 Vista Del Monte PlRio Communities, NM 87002-9515 · (505) 450-8965
Phone(505) 450-8965
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1740676659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · CCMH0206361
1103 VISTA DEL MONTE PL, Rio Communities, NM 87002
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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 and accepts Medicare assignment

Shanna Parker is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507359932
PECOS Enrollment IDI20251204001046
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.

Other Providers at the Same Location NPPES

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

TRANQUIL PATH THERAPY SERVICES LLC
Counselor (Mental Health)
1103 VISTA DEL MONTE PL
RIO COMMUNITIES, NM 87002
Valencia County (505) 450-8965

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 Shanna Parker's NPI number?

The NPI number for Shanna Parker is 1740676659. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Shanna Parker located?

Shanna Parker practices at 1103 Vista Del Monte Pl, Rio Communities, NM 87002. The listed phone number is (505) 450-8965.

What is Shanna Parker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shanna Parker enrolled in Medicare?

Yes. Shanna Parker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shanna Parker was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.