Individual provider Active NPI

Tikisha Parker, RN

  • Registered Nurse
  • Newport News, VA
National Provider Identifier
1295398337
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001223522 Issued in VA
Practice address
739 Thimble Shoals Blvd Ste 504
Newport News, VA 23606-3562
Phone
(757) 951-3590
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001223522 VA Primary

Addresses

Primary practice location

739 Thimble Shoals Blvd Ste 504
Newport News, VA 23606-3562

Mailing address

739 Thimble Shoals Blvd Ste 504
Newport News, VA 23606-3562
Phone (757) 951-3590

Other identifiers 1

IdentifierTypeStateIssuer
131429MedicaidVA

Other names 1

  • Tikisha Parker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001223522VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Holistic Homecare.LLC Current Accepting new patients

Locations

4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377

739 Thimble Shoals Blvd
Ste 504
Newport News, VA 23606
Phone (757) 951-3590

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1295398337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 THIMBLE SHOALS BLVD STE 504",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063562",
            "telephone_number": "757-951-3590",
            "fax_number": "757-586-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 THIMBLE SHOALS BLVD STE 504",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063562",
            "telephone_number": "757-951-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TIKISHA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001223522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131429",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIKISHA",
            "last_name": "PARKER",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.