Kimberly S Parks-Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

247348 Issued in NY

Practice address

8900 Van Wyck Expy
Jamaica, NY 11418-2832

Phone

(631) 887-6571

NPI assigned

Jan 3, 2009

Last updated

Jan 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1942446570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117860696",
            "telephone_number": "631-887-6571",
            "fax_number": "877-308-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182832",
            "telephone_number": "631-887-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS-SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-03",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "247348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Park
• Tai Park
• Alicia Parker, MSW
• Hugh Donovan St. Justin Parker, D.M.D
• Tianna Parkes
• Leona Alicia Parks
• Theresa Parks, LCSW
• Jeannie-Anne Parlan, NP
• Vidato Parpan, PT
• Tamica Parris, LCSW

• Licensed Practical Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.