Individual provider Active NPI

Carol Ann Parker, CNP, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1831488543
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15470-NP Issued in OH
Practice address
8044 Montgomery Rd Ste 700-7359
Cincinnati, OH 45236-2919
Phone
(513) 372-5071
Fax
(513) 672-2544
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.15470-NP OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 272194 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15470-NP OH Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61254943 WA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MP7393426 WA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MP3180724 OH
Registered Nurse 163W00000X RN316056 OH

Addresses

Primary practice location

8044 Montgomery Rd Ste 700-7359
Cincinnati, OH 45236-2919

Mailing address

2850 Parkwalk Dr
Cincinnati, OH 45239-1901
Phone (513) 226-2055

Other identifiers 2

IdentifierTypeStateIssuer
0110949MedicaidOH
1831488543OtherOHNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140616001611 OH Practitioner - Nurse Practitioner 9032333927 Reassigns benefits to 3 organizations
I20230217001462 WA Practitioner - Nurse Practitioner 9032333927

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformations Health Services LLCGroup PAC ID 5395103873, 2 clinicians

Practice addresses (Care Compare)

3650 Muddy Creek Rd
Suite 100
Cincinnati, OH 45238-2058
Phone (513) 347-0375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN316056OHMDRegistered Nurse
MP3180724OHMDSubstance Use Disorder Rehabilitation Clinic/Center
272194AZMDPsychiatric/Mental Health Nurse Practitioner
15470-NPOHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations Health Services LLC CurrentSince May 14, 2023 Accepting new patients
Riveon Mental Health and Recovery CurrentSince Oct 15, 2020 Accepting new patients
Urban Minority Alcoholism & Drug Abuse Outreach Program of Cincinnati Psychiatric/Mental Health CurrentSince Jan 4, 2023 Accepting new patients
Riveon Mental Health and Recovery CurrentSince Oct 15, 2020 Accepting new patients
Urban Minority Alcoholism & Drug Abuse Outreach Program of Cincinnati Psychiatric/Mental Health PastSince Sep 1, 2023 Accepting new patients

Locations

199 William Howard Taft Rd
Fl 3
Cincinnati, OH 45219
Phone (513) 541-7099

2230 Park Ave
Cincinnati, OH 45206
Phone (513) 541-7099

3650 Muddy Creek Rd
Ste 100
Cincinnati, OH 45238
Phone (513) 325-9399

199 William Howard Taft Rd
Cincinnati, OH 45219
Phone (513) 541-7099

6140 S Broadway
Lorain, OH 44053
Phone (440) 233-7232

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cincyumadaop/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1831488543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PARKWALK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452391901",
            "telephone_number": "513-226-2055",
            "fax_number": "513-681-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 MONTGOMERY RD STE 700-7359",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362919",
            "telephone_number": "513-372-5071",
            "fax_number": "513-672-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNP, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15470-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "272194",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "15470-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61254943",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "MP7393426",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "MP3180724",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN316056",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110949",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831488543",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.