Individual provider Active NPI

Brenda Ann Parker-Parks, ARNP

  • Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1053581199
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1952242 Issued in FL
Practice address
13196 SW 50TH St
Miramar, FL 33027-5527
Phone
(305) 333-3872
NPI assigned
Mar 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1952242 FL Primary

Addresses

Primary practice location

13196 SW 50TH St
Miramar, FL 33027-5527

Mailing address

13196 SW 50TH St
Miramar, FL 33027-5527
Phone (305) 829-4512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1952242FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Health and Wellness CurrentSince Mar 2, 2021 Accepting new patients
Miami Gardens Health Clinic, LLC Current Accepting new patients
Parks Lab Services, LLC Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1053581199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13196 SW 50TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275527",
            "telephone_number": "305-829-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13196 SW 50TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275527",
            "telephone_number": "305-333-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-PARKS",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1952242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.