Kimberly Parker, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28173730A Issued in IN

Practice address

2695 Sheldon Dr
Warsaw, IN 46582-6544

Phone

(574) 658-9455

Fax

(574) 658-3412

NPI assigned

Jun 9, 2021

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1255908059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 SHELDON DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465826544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 SHELDON DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465826544",
            "telephone_number": "574-658-9455",
            "fax_number": "574-658-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KIMBERLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28173730A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PA Labs Inc
• Bohyun Park, MA
• Sung Jae Park, M.D.
• Amber Rae Parker, PTA
• Kellie R. Parker, NP
• Marlene Parker, HSPP
• Parkview Kosciusko Surgery One, LLC
• Polly Ann Pavey, MSW
• Peak Performance Orthopedic & Sports Physical Therapy, P.C.
• Kristi R Pentz

• Registered Nurse in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.