RACHEL D PARKS


Address: 775 Engineering Ave, Springfield, IL 62703-5909
Phone: 2175287541

RACHEL D PARKS (NPI# 1104362193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104362193
Entity Type Individual
Full Name RACHEL D PARKS
Other Name RACHEL D WALDEN
Credential NP
Practice Address 775 Engineering Ave
Springfield
IL 62703-5909
Mailing Address 1025 S 6th St
Springfield
IL 62703-2403
Practice Telephone 2175287541
Mailing Telephone 2175287541
Enumeration Date 2017-01-13
Last Update Date 2020-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
209015232 IL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 775 ENGINEERING AVE
City SPRINGFIELD
State IL
Zip Code 62703-5909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740270537 Todd J Petersen Physician Assistant 775 Engineering Ave, Springfield, IL 62703-5909 2005-10-24
1891258109 Brieana D. Kesterson Nurse Practitioner 775 Engineering Ave, Springfield, IL 62703-5909 2019-04-12
1104390046 Dena L. Pope Nurse Practitioner 775 Engineering Ave, Springfield, IL 62703-5909 2019-01-14
1457898934 Chandra Anisha Pierson-rye Registered Nurse 775 Engineering Ave, Springfield, IL 62703-5909 2017-01-23
1891196838 Michelle R. Smart Nurse Practitioner 775 Engineering Ave, Springfield, IL 62703-5909 2014-09-09
1376809525 Rosemary Staten Nurse Practitioner 775 Engineering Ave, Springfield, IL 62703-5909 2012-04-02
1184907065 Patricia Anne Tessier-quint Nurse Practitioner 775 Engineering Ave, Springfield, IL 62703-5909 2011-09-27
1821319260 Nisha Raja-rahman Preventive Medicine 775 Engineering Ave, Springfield, IL 62703-5909 2010-06-21
1043537491 Donna Faye Duncan Nurse Practitioner 775 Engineering Ave, Springfield, IL 62703-5909 2010-04-26
1770721144 Tammy J Bartolomucci Nurse Practitioner 775 Engineering Ave, Springfield, IL 62703-5909 2009-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790260917 Jessica Lynne Zeeck Behavior Technician 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 2018-10-03
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
1144712100 Fresenius Medical Care Springfield East, LLC Clinic/Center 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 2018-06-05
1558889170 Ji Woung Choi Dentist 687 E Linton Ave., Springfield, IL 62703 2017-09-04
1477006161 Encompass Home Health of The Midwest,llc Home Health 2970 Baker Dr, Springfield, IL 62703 2016-07-28
1851706824 Terah Louise Holland Obstetrics & Gynecology 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 2014-06-27
1578993101 Corey Moore Behavioral Analyst 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 2013-11-18
1134463052 The Center for Youth and Family Solutions Inc. Voluntary or Charitable 614 North Sixth Street, Springfield, IL 62703 2012-11-15
1447519111 Tenshi Furumi Specialist/Technologist One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 2012-05-15
1447558390 Shalini Mulkanoor Family Medicine 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 2011-03-02
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1962906552 Caroline Mcgarr Butler Nurse Practitioner 368 River St Ste 160, Springfield, VT 05156-2242 2018-03-20
1578070561 Claudia Franc Williams Nurse Practitioner Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 2017-12-29
1598298457 Summer Tipton Nurse Practitioner 2140 S Hillcrest Ave, Springfield, MO 65807-2108 2017-04-07
1417406489 Amy L Peters Nurse Practitioner 1242 E Independence St, #200, Springfield, MO 65804-4284 2016-10-01
1679833271 Sentew Care Nurse Practitioner LLC Nurse Practitioner 8322 Bark Tree Ct, Springfield, VA 22153-3828 2012-05-17
1508157140 Springfield Internal Medicine Group Nurse Practitioner 1435 E Bradford Pkwy, Suite 105, Springfield, MO 65804-6563 2011-05-01
1043533128 Keri Lynn Sutton Nurse Practitioner 1730 E Republic Rd Ste K, Springfield, MO 65804-6519 2010-03-03
1093967630 Maire Alexander Nurse Practitioner 7939 Lake Pleasant Dr, Springfield, VA 22153-2750 2008-10-15
1790937498 Marlene Karen Schmitz Nurse Practitioner 385 Morris Ave Ste 100, Springfield, NJ 07081-1100 2008-10-14
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Competitor

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City SPRINGFIELD
Zip Code 62703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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