Mary A Parrish, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11015451 Issued in FL

Practice address

4551 W US Highway 90 Ste 101
Lake City, FL 32055-8836

Phone

(386) 319-8178

Fax

(386) 243-8786

NPI assigned

Sep 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Haven Medical Group, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Gainesville, FL
  • NPI 1407143316
  Medicare reassignment NPD
• Quality Healthcare Resources LLC

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1205081437

  FL

  Medicare reassignment NPD
• Abode Hospice of Florida, LLC

  • Community Based Hospice Care Agency
  • Gainesville, FL
  • NPI 1154162857

  Family Medicine

  NPD (past)
• Medlink Management Services Inc

  • Rural Health Clinic/Center
  • Lake Butler, FL
  • NPI 1114188927
  NPD (past)
• North Central Florida Hospice, Inc.

  • Inpatient Hospice
  • Gainesville, FL
  • NPI 1699742783
  NPD (past)

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1811667124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5863 SW 150TH LN",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320548101",
            "telephone_number": "352-494-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 W US HIGHWAY 90 STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558836",
            "telephone_number": "386-319-8178",
            "fax_number": "386-243-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11015451",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11015451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilibeth Reyes Parm, MSC IT
• Daniel Dennis Parnell, M.A., L.M.H.C.
• Parrish Medi-Van
• Deborah Lindsay Parrish
• Kristine M Parrish
• Lorgenia Parsons
• Pastor H. Rios, MD
• Martha Ninoska Pastora, NP
• Auriaunna Pate
• Bina B Patel

• Primary Care Nurse Practitioner in Lake City, FL
• Providers in Lake City, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.

Verify at the official NPI Registry.