Eddaneshia Yolanda Parks

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

1656 Meriden Wtby Tpke # 1003
Milldale, CT 06467-6507

Phone

(203) 220-1804

NPI assigned

Feb 12, 2026

Last updated

Feb 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KDM Heart of Phlebotomy

  • Phlebotomy Technician
  • Milldale, CT
  • NPI 1053240127
  NPD Authorized official

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1962354753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 MERIDEN WTBY TPKE # 1003",
            "city": "MILLDALE",
            "state": "CT",
            "postal_code": "064676507",
            "telephone_number": "203-220-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 MERIDEN WTBY TPKE # 1003",
            "city": "MILLDALE",
            "state": "CT",
            "postal_code": "064676507",
            "telephone_number": "203-220-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "EDDANESHIA",
        "middle_name": "YOLANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E. Rivera, M.D., P.C. (Southington Family Medical Center)
• Tia Kaysaundra Johnson, BCBA 1-19-38888
• KDM Heart of Phlebotomy
• Neck & Back Pain Relief Center LLC
• Palmera Behavioral Health and Wellness
• Diane Marie Peloquin, R.P.T
• Daniel Alfred Ragozzine, DC
• John Edwin Rivera, M.D.
• John Edwin Rivera Jr., M.D.
• Orlian Senior

• Phlebotomy Technician in Milldale, CT
• Providers in Milldale, CT by specialty
• Phlebotomy Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.