Amy Parker, MSN, RN, PNP-PC, CNS

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95009538 Issued in CA

Practice address

1160 N Westmoreland Ave
Los Angeles, CA 90029-1909

Phone

(510) 912-2611

NPI assigned

Dec 12, 2018

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)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1780155085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N WESTMORELAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N WESTMORELAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291909",
            "telephone_number": "510-912-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMY",
        "credential": "MSN, RN, PNP-PC, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-12",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95009538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chong Young Parke, M.D.
• Kimberly Parker Lundy
• Alexandria Lynn Parker, LCSW
• Amanda Jean Parker, LCSW
• Amber Parker, DDS
• Andrew Jacob Parker
• Ashanti Marie Parker, RN
• Brendan K. Parker
• Bridget L. Parker
• Chase Parker, CADC-CAS

• Pediatric Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.