Andrea E Parker, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

4704100545 Issued in MI

Practice address

25059 Stonycroft Dr
Southfield, MI 48033-2717

Phone

(313) 414-5998

Fax

(248) 212-0193

NPI assigned

Jul 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1770748089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25059 STONYCROFT DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332717",
            "telephone_number": "313-414-5998",
            "fax_number": "248-212-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25059 STONYCROFT DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332717",
            "telephone_number": "313-414-5998",
            "fax_number": "248-212-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ANDREA",
        "middle_name": "E",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704100545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Lynn Park, PA-C
• Thomas Park, M.D.
• Helen Parker-Smith, R.N
• Arnise Octavia Parker-Walker, MA, LPC
• Amy Parker, DDS
• Bianca Parker, MD
• Jennifer Parker
• Lisa Maria Parker, M.D.
• Lisa Marie Parker, AUD
• Patricia Lynn Parker, MT

• Administrator Registered Nurse in Southfield, MI
• Providers in Southfield, MI by specialty
• Administrator Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.