Kimberly Anne Parker

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2000672830 Issued in NC

Practice address

377 Rockport Dr
Clayton, NC 27527-7065

Phone

(336) 964-2276

NPI assigned

Nov 8, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1762560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1235009853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 ROCKPORT DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275277065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 ROCKPORT DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275277065",
            "telephone_number": "336-964-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-08",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "2000672830",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NC",
            "license": "2000672830",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "2000672830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Nicolas Pan, DO
• Pandora Family Care Home LLC
• Pandora Famiyl Care Home LLC
• Antara Pradip Parkar, PT
• Grace Parker, DPT
• Qiera A Parrish
• Tim Passerell
• Passionate Care Group Home
• Patel DMD Associates PLLC
• Drashti Ashvinkumar Patel, RPH

• Acute Care Nurse Practitioner in Clayton, NC
• Providers in Clayton, NC by specialty
• Acute Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.