Kiesha Lashawn Parkinson, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN9492149 Issued in FL

Practice address

212 Mango Dr
Palatka, FL 32177-6421

Phone

(386) 546-7194

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1003458951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 981",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321780981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MANGO DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776421",
            "telephone_number": "386-546-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "KIESHA",
        "middle_name": "LASHAWN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9492149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo A Pairot, DDS
• Palatka Lpoc, LLC
• Palatka Nursing and Rehab Op LLC
• Palatka Physical Therapy LLC
• Palatka SNF Operations LLC
• Patrick J Harris D O P a
• Larry William Pederson, R.PH., C.PH.
• Mark Peluso, LCSW
• Robert Pendrak, MD
• Peopleone Health Florida, LLC

• General Practice Registered Nurse in Palatka, FL
• Providers in Palatka, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.