Parks Practitioner and Consulting Services LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

13235 Issued in TN

Legal business name

PARKS PRACTITIONER AND CONSULTING SERVICES LLC

Practice address

9640 Sylvania Metamora Rd
Sylvania, OH 43560-9485

Phone

(334) 333-6158

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth Parks, NP

Title

Nurse Practitioner

Phone

(334) 333-6158

Specialties & licenses 2

Addresses

Other names 1

• ppcs Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1609262823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CANEBREAK PL",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365326370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 SYLVANIA METAMORA RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609485",
            "telephone_number": "334-333-6158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41800 W 11 Mile Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751818",
            "country_code": "US",
            "telephone_number": "248-660-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARKS PRACTITIONER AND CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "334-333-6158",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "13235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ppcs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• P & J Realty (Sylvania Vision Center)
• Rodney Peter Paladino, DDS
• James Steven Papadimos, MD, MPH
• Paige Paprocki
• Cynthia M Parke, CNM, MSN
• Mary Elizabeth Parks, APRN
• Gabrielle Parr, FNP-C
• Monica R Patek, PHARMD
• Jaydutt B. Patel, MD
• Sohil Patel, M.D.

• Adult Health Nurse Practitioner in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.