David Parks, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

47-04-192152 Issued in MI

Practice address

4224 Edmore Rd
Waterford, MI 48329-3816

Phone

(248) 802-3508

NPI assigned

Jun 29, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1962853028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 EDMORE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293816",
            "telephone_number": "248-802-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 EDMORE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293816",
            "telephone_number": "248-802-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "DAVID",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "47-04-192152",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "47-04-192152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "E8461L",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florainne Pambid, PT
• Kayla M Paquette, LBA
• Amber Nicole Park
• Tammy Parker, LLBSW
• Cherelle Nicole Parks, CPSS
• Allison Carol Parliament, MA, LPC, NCC
• Partners in Care Laboratories LLC
• Chetankumar B Patel, PT
• Kailashben P Patel
• Nishant Patel, PHARMACIST

• Registered Nurse in Waterford, MI
• Providers in Waterford, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.