Active NPI
Dana Parker
- Nurse's Aide
- Rocky Mount, NC
National Provider Identifier
1912103375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- HC2881
- Practice address
- 854 Tiffany Blvd
Suite 204
Rocky Mount, NC 27804-1949 - Phone
- (252) 442-8040
- Fax
- (252) 451-8050
- NPI assigned
- Jun 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | HC2881 | NC | Primary |
Addresses
Primary practice location
854 Tiffany Blvd
Suite 204
Rocky Mount, NC 27804-1949
Mailing address
PO Box 1298
Rocky Mount, NC 27802-1298
Phone (252) 442-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408335 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC2881 | NC | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Home Health Care Agency, LLC | Past | Accepting new patients | |
| Premier Home Health Care Agency | Past | Accepting new patients |
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.
-
- Home Health Agency
- Rocky Mount, NC
- NPI 1912183880
-
- Home Health Agency
- Rocky Mount, NC
- NPI 1063568129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912103375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1298",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278021298",
"telephone_number": "252-442-8040",
"fax_number": "252-451-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 TIFFANY BLVD",
"address_2": "SUITE 204",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278041949",
"telephone_number": "252-442-8040",
"fax_number": "252-451-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "DANA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NC",
"license": "HC2881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408335",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.