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: July 19, 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
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

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.

Psychologist
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Social Worker
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Psychologist
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922707264, enumerated as an "individual" on February 27, 2023.

The provider is located at 415 MEDICAL DR STE A100 BOUNTIFUL, UT 84010 and the phone number is (801) 683-1062.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.