Individual provider Active NPI

Ashley Kara Parks, FNP-BC

  • Family Nurse Practitioner
  • Pontiac, MI
National Provider Identifier
1366779639
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704252943 Issued in MI
Practice address
46 N Saginaw St
Pontiac, MI 48342-2155
Phone
(248) 322-6747
NPI assigned
Nov 6, 2009
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704252943 MI Primary
Family Nurse Practitioner 363LF0000X 209008420 IL

Addresses

Primary practice location

46 N Saginaw St
Pontiac, MI 48342-2155

Mailing address

3030 Camden Dr
Troy, MI 48084-7020
Phone (248) 514-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000067 MI Practitioner - Nurse Practitioner 3375686504 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209008420ILMDFamily Nurse Practitioner
4704252943MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians Medical Group of Michigan, PC CurrentSince Feb 1, 2014 Accepting new patients
Henry Ford Health System Family CurrentSince Jun 1, 2015 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC CurrentSince Feb 1, 2014 Accepting new patients
Southfield City Urgent Care PC CurrentSince Feb 28, 2017 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Inpatient Consultants of Michigan PC CurrentSince Nov 14, 2018 Accepting new patients
Henry Ford Health System CurrentSince Jun 1, 2015 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Organizations & group practices 8

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": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1366779639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CAMDEN DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847020",
            "telephone_number": "248-514-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N SAGINAW ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422155",
            "telephone_number": "248-322-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ASHLEY",
        "middle_name": "KARA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704252943",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.