Active NPI
Carol L Parent, PAC
- Physician Assistant
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601001979
- Practice address
- 14900 Middlebelt Rd
Livonia, MI 48154-4033 - Phone
- (248) 660-1220
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601001979 | MI | |
| Physician Assistant | 363A00000X | 5601001979 | MI | Primary |
Addresses
Primary practice location
14900 Middlebelt Rd
Livonia, MI 48154-4033
Mailing address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Other practice location 1
28550 5 Mile Rd
Livonia, MI 48154-3866
Phone (248) 660-1220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601001979 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Physician Assistant | Current | Accepting new patients |
Locations
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
14900 Middlebelt Rd
Livonia, MI 48154
Phone (734) 425-4200
28550 5 Mile Rd
Livonia, MI 48154
Phone (734) 278-8270
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Interoperability endpoints
- cparent435847@direct.hfhs.org
Organizations & group practices 1
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": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1902923501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41800 W 11 MILE RD STE 109",
"city": "NOVI",
"state": "MI",
"postal_code": "483751818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14900 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481544033",
"telephone_number": "248-660-1220"
}
],
"practiceLocations": [
{
"address_1": "28550 5 Mile Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481543866",
"country_code": "US",
"telephone_number": "248-660-1220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARENT",
"first_name": "CAROL",
"middle_name": "L",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601001979",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601001979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.