Circle Maker LLC
Circle Maker LLC is a healthcare organization registered as Family Medicine Physician in Mount Vernon, MO, holding Type 2 (organization) NPI 1962134114 since 2022. The authorized official on file is Lisa Parker, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962134114 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Circle Maker LLC |
| Other name | <Unavail> |
| Practice address | 320 W MOUNT VERNON BLVD, Mount Vernon, MO, 65712 |
| Phone | 4174610056 |
| Fax | 8337071944 |
| Enumeration date | 2022-06-27 |
| Last updated in NPPES | 2023-03-11 |
Authorized official
| Name | Lisa Parker |
|---|---|
| Title | Physician |
| Phone | 4174613009 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205890106 | Medicaid | MO | — |
Copy-ready billing details
Provider: Circle Maker LLC NPI: 1962134114 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 320 W MOUNT VERNON BLVD, Mount Vernon, MO, 65712
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578682324 | Lisa Parker | Individual | Family Medicine Physician | Mount Vernon, MO |
| 1821733833 | Julia Eden | Individual | Family Nurse Practitioner | Mount Vernon, MO |
| 1306658463 | Bethany Douglas | Individual | Family Nurse Practitioner | Mount Vernon, MO |
Verify this record
Cross-check NPI 1962134114 against the authoritative CMS record: view Circle Maker LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Circle Maker LLC?
Who is the authorized official for Circle Maker LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-11.