Active NPI
Tikisha Parker, RN
- Registered Nurse
- Newport News, VA
National Provider Identifier
1295398337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001223522
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131429 | Medicaid | VA |
Other names 1
- Tikisha Parker
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001223522 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Newport News, VA
- NPI 1285278820
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.