Kerryanne Nashak Parker, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

TP005527D Issued in PA

Practice address

1766 Wilmington Pike
Glen Mills, PA 19342-1426

Phone

(610) 265-9290

NPI assigned

Nov 15, 2013

Last updated

Feb 3, 2025By the provider in NPPES

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

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1225468093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 STAGHORN WAY",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805113",
            "telephone_number": "610-918-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 WILMINGTON PIKE",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421426",
            "telephone_number": "610-265-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KERRYANNE",
        "middle_name": "NASHAK",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2025-02-03",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "TP005527D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Pankowski, PT
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• Robert Martin Paolino, DMD
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• Malik Patterson, PTA
• PBM Enterprises
• Randall Boyd Peart, PHARMD
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #17252)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy#04984)

• Pediatric Nurse Practitioner in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.