Active NPI
Mickey Parks
- Obstetrics & Gynecology Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1255525739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 1-043091
- Practice address
- 1717 6TH Ave S
Birmingham, AL 35233-1801 - Phone
- (800) 822-8816
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 1-043091 | AL | Primary |
Addresses
Primary practice location
1717 6TH Ave S
Birmingham, AL 35233-1801
Mailing address
1717 6TH Ave S
Birmingham, AL 35233-1801
Other practice location 1
1500 6th Ave S
Birmingham, AL 35233-1602
Phone (205) 934-2170
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mparks@direct.uabmedicine.org | Direct | University of Alabama Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-043091 | AL | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1255525739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331801",
"telephone_number": "800-822-8816"
}
],
"practiceLocations": [
{
"address_1": "1500 6th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331602",
"country_code": "US",
"telephone_number": "205-934-2170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKS",
"first_name": "MICKEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "AL",
"license": "1-043091",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mparks@direct.uabmedicine.org",
"affiliation": "Y",
"affiliationName": "University of Alabama Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1500 6th Ave S",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "352331602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.