Healthcare Provider Details

I. General information

NPI: 1659465201
Provider Name (Legal Business Name): AMY N. PARKER RDMS, RVT, RDCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 MAIN ST
RIENZI MS
38865
US

IV. Provider business mailing address

PO BOX 2
RIENZI MS
38865
US

V. Phone/Fax

Practice location:
  • Phone: 662-462-5919
  • Fax:
Mailing address:
  • Phone: 662-462-5919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License NumberMRT1561
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License NumberMRT1561
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License NumberMRT1561
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: