Individual provider Active NPI

Deniece Stacey Parkinson

  • Primary Care Nurse Practitioner
  • Mentor, OH
National Provider Identifier
1528561883
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.022503 Issued in OH
Practice address
7350 Industrial Park Blvd
Mentor, OH 44060-5318
Phone
(216) 732-9480
Fax
(440) 942-8431
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.022503 OH Primary

Addresses

Primary practice location

7350 Industrial Park Blvd
Mentor, OH 44060-5318

Mailing address

7350 Industrial Park Blvd
Mentor, OH 44060-5318
Phone (216) 732-9480

Other practice location 1

6681 Ridge Rd Ste 300
Parma, OH 44129-5705
Phone (440) 842-8675

Other practice location 2

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 310-7103

Other practice location 3

16600 W Sprague Rd Ste 120
Middleburg Heights, OH 44130-6300
Phone (440) 826-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180405001542 OH Practitioner - Nurse Practitioner 2860755758 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Nov 19, 2018 Accepting new patients
Vpa PC CurrentSince Nov 19, 2018 Accepting new patients
Summit Medical Group, PLLC PastSince Jan 31, 2022 Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

1900 Indian Wood Cir
Ste 202B
Maumee, OH 43537
Phone (419) 578-8594

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

16600 W Sprague Rd
Ste 120
Middleburg Heights, OH 44130
Phone (440) 826-0500

Interoperability endpoints

  • Direct secure messaging: dparkinson@landmarkhealth-direct.org

Organizations & group practices 4

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": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1528561883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 INDUSTRIAL PARK BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605318",
            "telephone_number": "216-732-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 INDUSTRIAL PARK BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605318",
            "telephone_number": "216-732-9480",
            "fax_number": "440-942-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6681 Ridge Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441295705",
            "country_code": "US",
            "telephone_number": "440-842-8675",
            "fax_number": "440-842-1299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-310-7103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16600 W Sprague Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441306300",
            "country_code": "US",
            "telephone_number": "440-826-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "DENIECE",
        "middle_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.022503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.