Individual provider Active NPI

Jeannie-Anne Parlan, NP

  • Adult Health Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1164042578
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309365-01 Issued in NY
Practice address
13750 Jamaica Ave
Jamaica, NY 11435-3610
Phone
(718) 298-5100
NPI assigned
Apr 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309365-01 NY Primary

Addresses

Primary practice location

13750 Jamaica Ave
Jamaica, NY 11435-3610

Mailing address

20628 45TH Rd
Bayside, NY 11361-3121
Phone (718) 785-6720

Other practice location 1

3611 Corporal Kennedy St
Bayside, NY 11361-1417
Phone (718) 785-6720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201002001845 NY Practitioner - Nurse Practitioner 8224457643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Damian Family Care Centers, Inc. 13 clinicians

Practice addresses (Care Compare)

13750 Jamaica Ave
Jamaica, NY 11435-3610
Phone (718) 398-5100

8956 162ND St
Jamaica, NY 11432-5072
Phone (347) 505-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F309365-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Damian Family Care Centers, Inc. CurrentSince Jan 10, 2025 Accepting new patients
Damian Family Care Centers, Inc. CurrentSince Jan 10, 2025 Accepting new patients

Locations

8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000

13750 Jamaica Ave
Jamaica, NY 11435
Phone (718) 298-5100

Interoperability endpoints

  • Direct secure messaging: jparlan1321081@nychhc.direct-ci.com

Organizations & group practices 12

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": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1164042578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20628 45TH RD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613121",
            "telephone_number": "718-785-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353610",
            "telephone_number": "718-298-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 Corporal Kennedy St",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113611417",
            "country_code": "US",
            "telephone_number": "718-785-6720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARLAN",
        "first_name": "JEANNIE-ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-26",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309365-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.