Active NPI
Shellie Robyn-Katherine Parker, PA-C
- Physician Assistant
- Miami, FL
National Provider Identifier
1801924717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103586
- Practice address
- 2345 NW 91St St
Miami, FL 33147-3535 - Phone
- (305) 527-7164
- NPI assigned
- Mar 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103586 | FL | Primary |
Addresses
Primary practice location
2345 NW 91St St
Miami, FL 33147-3535
Mailing address
2345 NW 91St St
Miami, FL 33147-3535
Phone (305) 527-7164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091009000446 | FL | Practitioner - Physician Assistant | 4981740651 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103586 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Healthcare Associates LLC | Past | Accepting new patients |
Interoperability endpoints
- shellie.parker@hbr.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Pinecrest, FL
- NPI 1467558817
FL
-
- Pulmonary Disease Physician
- Pinecrest, FL
- NPI 1760660021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1801924717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 NW 91ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331473535",
"telephone_number": "305-527-7164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 NW 91ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331473535",
"telephone_number": "305-527-7164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "SHELLIE",
"middle_name": "ROBYN-KATHERINE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.