Active NPI
Duo Health Services LLC
- Gerontology Clinical Nurse Specialist
- Southfield, MI
National Provider Identifier
1417541954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- Legal business name
- DUO HEALTH SERVICES LLC
- Practice address
- 17330 Northland Park CT
Suite 100
Southfield, MI 48075 - Phone
- (248) 798-3969
- NPI assigned
- Feb 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimiko L Parks, AGNP
- Title
- Administrator
- Phone
- (248) 798-3969
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Primary Care Nurse Practitioner | 363LP2300X | |||
| Gerontology Clinical Nurse Specialist | 364SG0600X | Primary |
Addresses
Primary practice location
17330 Northland Park CT
Suite 100
Southfield, MI 48075
Mailing address
19785 W 12 Mile Rd # 389
Southfield, MI 48076-2584
Phone (248) 798-3969
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614211200000",
"number": "1417541954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19785 W 12 MILE RD # 389",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762584",
"telephone_number": "248-798-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17330 NORTHLAND PARK CT",
"address_2": "SUITE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "248-798-3969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUO HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-09",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "KIMIKO",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "248-798-3969",
"authorized_official_credential": "AGNP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.