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SUSANNA PARKER
NPI 1922707264
Physician Assistant in Bountiful, UT

Active since February 27, 2023
415 MEDICAL DR STE A100, BOUNTIFUL, UT 84010(801) 683-1062 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 22, 2026, May 10, 2026, Feb 27, 2023 (3 updates tracked since 2023).

About Susanna Parker NPPES

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

SUSANNA PARKER (NPI 1922707264) is an individual physician assistant in Bountiful, Utah, licensed in Utah (14242213-1206) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1922707264
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSANNA PARKER
Location Address415 MEDICAL DR STE A100Bountiful, UT 84010-4995
Mailing Address148 N 360 WCenterville, UT 84014-2139 · (385) 226-1821
Phone(801) 683-1062
Sole ProprietorYes
Enumeration DateFebruary 27, 2023
Last NPPES UpdateMay 22, 20263 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1922707264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14242213-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
415 MEDICAL DR STE A100, Bountiful, UT 84010
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Other Identifiers 1

Other24796UT · Brpt

Other Providers at the Same Location NPPES 20

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

ANGELA CROW
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Davis County (801) 683-1062
JESSICA MONTOYA
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Davis County (801) 683-1062
PARIS TYLA CHRISTENSEN
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Davis County (801) 683-1062
MS. BERKLEY REBECCA WISEMAN
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Davis County (801) 683-1062
KENZY LYNN CHRISTENSEN
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Davis County (801) 683-1062
AVRI LEIGH DAVIS
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Davis County (801) 683-1062
EMMALINE ESTHER PARK
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Davis County (801) 683-1062
ABIGAIL BROWN
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Davis County (801) 683-1062

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 Susanna Parker's NPI number?

The NPI number for Susanna Parker is 1922707264. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Susanna Parker located?

Susanna Parker practices at 415 Medical Dr Ste A100, Bountiful, UT 84010. The listed phone number is (801) 683-1062.

What is Susanna Parker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Susanna Parker was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.