Active NPI
Bianca M Parker
- Homemaker
- Fruitland Park, FL
National Provider Identifier
1982244836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 1111 Atlantic Ave
Fruitland Park, FL 34731-3225 - Phone
- (352) 455-1362
- NPI assigned
- Jan 8, 2020
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | FL | Primary |
Addresses
Primary practice location
1111 Atlantic Ave
Fruitland Park, FL 34731-3225
Mailing address
1111 Atlantic Ave
Fruitland Park, FL 34731-3225
Phone (352) 455-1362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | AHCA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Ablaze Care LLC | Homemaker | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1982244836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 ATLANTIC AVE",
"city": "FRUITLAND PARK",
"state": "FL",
"postal_code": "347313225",
"telephone_number": "352-455-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 ATLANTIC AVE",
"city": "FRUITLAND PARK",
"state": "FL",
"postal_code": "347313225",
"telephone_number": "352-455-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "BIANCA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "0000000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fruitland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.