Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922707264 Individual Practitioner Female Practitioner

Susanna Parker

Physician Assistant • Bountiful, UT

Professional Overview & Biography Verified Profile Summary

Susanna Parker is a registered healthcare professional specializing in Physician Assistant in Bountiful, UT. Practice services are available at 415 MEDICAL DR STE A100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 Medical Dr Ste A100

Bountiful, UT 840104995

Telephone 8016831062
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bountiful, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
33 Specialists

Practicing in Bountiful, UT (1904 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 14242213-1206

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Brpt
24796 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bremen Acord

Social Worker - Clinical

NPI 1003387945
Colin Johns-Hegerhorst

Behavior Technician

NPI 1003481946
Karissa Romero

Behavior Technician

NPI 1003492398
Angela Crow

Behavior Technician

NPI 1003633439
Jessica Montoya

Behavior Technician

NPI 1003670126
Paris Christensen

Behavior Technician

NPI 1003744129

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 10, 2026

Registered at 415 MEDICAL DR STE A100, BOUNTIFUL, UT 840104995 (Tel: 8016831062)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2026

Physician Assistant (License #14242213-1206 in UT)

NPI Profile Active February 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2023

Registered at 148 N 360 W, CENTERVILLE, UT 840142139 (Tel: 3852261821)

📍
Updated Business Mailing Address February 27, 2023

Registered at 148 N 360 W, CENTERVILLE, UT 840142139 (Tel: 3852261821)

👤
Provider Name / Credentials Updated February 27, 2023

Recorded as SUSANNA PARKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922707264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2023
Last Update: May 22, 2026
Sole Proprietor: Yes

Mailing Address

148 N 360 W

Centerville, UT 840142139

Phone: 3852261821

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.