Jennifer Ruck Parks

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

76213 Issued in KS

Practice address

8675 College Blvd
Overland Park
Overland Park, KS 66210-1946

Phone

(913) 599-2440

NPI assigned

Jan 14, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in KS

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1962824656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 COLLEGE BLVD",
            "address_2": "OVERLAND PARK",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101946",
            "telephone_number": "913-599-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 COLLEGE BLVD",
            "address_2": "OVERLAND PARK",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101946",
            "telephone_number": "913-599-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JENNIFER",
        "middle_name": "RUCK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parks Children'S Dentistry
• Alison Parks
• Amanda B Parks, MSN, ARNP
• Conrad Parks, D.D.S.
• Jaime L Parks, MS CCC-A, AU.D.
• Parkway Home Plus LLC
• Karen Lorraine Parmely, APRN
• Mary Parn
• Aimeen Sajjad Paroya
• Piper E Parres, FNP

• All providers in Overland Park, KS
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.

Verify at the official NPI Registry.