Tecola Parks

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN324027 Issued in PA

Practice address

6765 Germantown Ave
Phila, PA 19119-2111

Phone

(215) 403-7426

NPI assigned

Jan 21, 2025

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

State licenses

Practice roles

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.

• Alana Milans Care

  • In Home Supportive Care Agency
  • Philadelphia, PA
  • NPI 1154166361
  NPD (past)

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1174335806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 N CORLIES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 GERMANTOWN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191192111",
            "telephone_number": "215-403-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "TECOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN324027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunhee Park
• Jeffrey D Park, CRNA
• Molly Ethel Parker, BA
• Darian Lynne Parkinson, CRNP, FNP-BC
• Albert George Parks Jr.
• Steven Parrillo, DO
• Bijal Patel, PHARMACIST
• Ruchika Patel, MD
• Patelka Dental Management at Frankford
• Patelka Dental Management at Torresdale LLC

• Licensed Practical Nurse in Phila, PA
• Providers in Phila, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.