Individual provider Active NPI

Cecilia T Parker, APRN

  • Adult Health Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1205697547
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11025986 Issued in FL
Practice address
5147 N 9TH Ave Ste 311
Pensacola, FL 32504-8770
Phone
(850) 477-2597
Fax
(866) 939-1533
NPI assigned
Jan 23, 2024
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3-001612 AL
Adult Health Nurse Practitioner 363LA2200X APRN11025986 FL Primary

Addresses

Primary practice location

5147 N 9TH Ave Ste 311
Pensacola, FL 32504-8770

Mailing address

10640 Senegal Dr
Pensacola, FL 32534-7915
Phone (850) 266-3503

Other practice location 1

111 Main St
Thomaston, AL 36783-3137
Phone (334) 627-3497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240626000687 AL Practitioner - Nurse Practitioner 5890239339 Reassigns benefits to 2 organizations
I20250416003889 FL Practitioner - Nurse Practitioner 5890239339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5147 N 9TH Ave
Suite 311
Pensacola, FL 32504-8770
Phone (850) 436-4563

9400 University Pkwy
Pensacola, FL 32514-5752
Phone (850) 436-4563

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-001612ALMDAdult Health Nurse Practitioner
APRN11025986FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Pensacola PA CurrentSince Apr 28, 2025 Accepting new patients
Rural Health Medical Program, Inc CurrentSince Mar 21, 2024 Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc CurrentSince Mar 21, 2024 Accepting new patients
Gastroenterology Associates of Pensacola PA Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients

Locations

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

867 County Road 59
Pine Apple, AL 36768
Phone (251) 746-2197

101 Park Pl
Selma, AL 36701
Phone (334) 874-7428

111 Main St
Thomaston, AL 36783
Phone (334) 627-3497

4810 N Davis Hwy
Pensacola, FL 32503
Phone (850) 474-8988

4828 N Davis Hwy
Pensacola, FL 32503

5147 N 9th Ave
Ste 311
Pensacola, FL 32504

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

Interoperability endpoints

  • Direct secure messaging: cecilia.parker@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 6

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1205697547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 SENEGAL DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325347915",
            "telephone_number": "850-266-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE STE 311",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048770",
            "telephone_number": "850-477-2597",
            "fax_number": "866-939-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Main St",
            "address_purpose": "LOCATION",
            "city": "Thomaston",
            "state": "AL",
            "postal_code": "367833137",
            "country_code": "US",
            "telephone_number": "334-627-3497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CECILIA",
        "middle_name": "T",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "3-001612",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11025986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.