Active NPI
Kareemah Palace Parker
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1093201204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006088
- Practice address
- 1331 E Wyoming Ave
Philadelphia, PA 19124-3808 - Phone
- (215) 707-1622
- NPI assigned
- Jul 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN006088 | PA | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | L-163149 | PA |
Addresses
Primary practice location
1331 E Wyoming Ave
Philadelphia, PA 19124-3808
Mailing address
3509 N Broad St
Philadelphia, PA 19140-4105
Other practice location 1
750 Beech Ave
Glenolden, PA 19036-1104
Phone (267) 968-8580
Other practice location 2
150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Phone (800) 203-8657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN006088 | PA | MD | Registered Dietitian |
| L-163149 | PA | MD | Lactation Consultant (Non-RN) |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1093201204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 E WYOMING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191243808",
"telephone_number": "215-707-1622"
}
],
"practiceLocations": [
{
"address_1": "750 Beech Ave",
"address_purpose": "LOCATION",
"city": "Glenolden",
"state": "PA",
"postal_code": "190361104",
"country_code": "US",
"telephone_number": "267-968-8580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Monument Rd Ste 207",
"address_purpose": "LOCATION",
"city": "Bala Cynwyd",
"state": "PA",
"postal_code": "190041725",
"country_code": "US",
"telephone_number": "800-203-8657",
"fax_number": "800-258-1426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "KAREEMAH",
"middle_name": "PALACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006088",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "PA",
"license": "L-163149",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.