Active NPI
Detrice L Parker
- Attendant Care Provider
- Indianapolis, IN
National Provider Identifier
1740004654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 24-018102-1
- Practice address
- 7164 Graham Rd Ste 140
Indianapolis, IN 46250-2675 - Phone
- (317) 728-0252
- Fax
- (317) 537-2107
- NPI assigned
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 24-018102-1 | IN | |
| Attendant Care Provider | 3747A0650X | 24-018102-1 | IN | Primary |
| Homemaker | 376J00000X | 24-018102-1 | IN |
Addresses
Primary practice location
7164 Graham Rd Ste 140
Indianapolis, IN 46250-2675
Mailing address
711 E 65TH St Ste 209
Indianapolis, IN 46220-1609
Phone (317) 728-0252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-018102-1 | IN | MD | Attendant Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family 1St Choice Health Care Services LLC | Current | 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 and National Provider Directory roles.
-
- Home Health Clinical Nurse Specialist
- Indianapolis, IN
- NPI 1295675361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1740004654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 E 65TH ST STE 209",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462201609",
"telephone_number": "317-728-0252",
"fax_number": "463-234-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7164 GRAHAM RD STE 140",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502675",
"telephone_number": "317-728-0252",
"fax_number": "317-537-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "DETRICE",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-08",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "IN",
"license": "24-018102-1",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "IN",
"license": "24-018102-1",
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "IN",
"license": "24-018102-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.