Active NPI
Jara Parks, BSN RN
- School Registered Nurse
- Laurel, DE
National Provider Identifier
1326528894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- L1-0043428
- Practice address
- 1160 S Central Ave
Laurel, DE 19956-1418 - Phone
- (302) 875-6100
- NPI assigned
- Aug 15, 2018
- Last updated
- Aug 15, 2018
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | L1-0043428 | DE | Primary |
Addresses
Primary practice location
1160 S Central Ave
Laurel, DE 19956-1418
Mailing address
1160 S Central Ave
Laurel, DE 19956-1418
Phone (302) 875-6100
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0043428 | DE | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1326528894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 S CENTRAL AVE",
"city": "LAUREL",
"state": "DE",
"postal_code": "199561418",
"telephone_number": "302-875-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 S CENTRAL AVE",
"city": "LAUREL",
"state": "DE",
"postal_code": "199561418",
"telephone_number": "302-875-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "JARA",
"credential": "BSN RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "DE",
"license": "L1-0043428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.