Active NPI
Brenda Ann Parker-Parks, ARNP
- Nurse Practitioner
- Miramar, FL
National Provider Identifier
1053581199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1952242
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1952242 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Health and Wellness | Current | 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.
-
- Medical Specialty Clinic/Center
- Sunrise, FL
- NPI 1639763113
-
- Clinical Medical Laboratory
- Sunrise, FL
- NPI 1588392633
-
- Health Service Clinic/Center
- Miramar, FL
- NPI 1760739270
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.