KIM LOUISE PARKS (NPI# 1245239763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245239763 |
| Entity Type | Individual |
| Full Name | KIM LOUISE PARKS |
| Credential | FNP-BC |
| Practice Address |
700 24th Street Fort Lee VA 23801-1716 |
| Practice Telephone | 8047349993 |
| Practice Fax Number | 8047349312 |
| Mailing Telephone | 8047349993 |
| Mailing Fax Number | 8047349312 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2012-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024168364 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878826 | Kim Annette Parks | Pharmacist | 113 Nnw Loop 323, Tyler, TX 75702-8725 | 2019-12-14 |
| 1750690186 | Kim Y Parks | Nurse Practitioner | 6802 Lee Hwy, Chattanooga, TN 37421-2444 | 2010-10-04 |
| Street Address |
700 24TH STREET |
| City | FORT LEE |
| State | VA |
| Zip Code | 23801-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245458231 | Cartesea Cobb Williams | Licensed Practical Nurse | 700 24th Street, Fort Lee, VA 23801-1716 | 2007-04-23 |
| 1003849167 | Katherine Morris | Physician Assistant | 700 24th Street, Fort Lee, VA 23801-1716 | 2006-07-09 |
| 1942241237 | Deborah Bain | Registered Nurse | 700 24th Street, Usameddac Kahc, Fort Lee, VI 23801-1716 | 2006-06-09 |
| 1992759666 | Frances Hoberta Sommerville | Licensed Practical Nurse | 700 24th Street, Fort Lee, VA 23801-1716 | 2006-05-19 |
| 1801854807 | Mack Conley O'quinn Jr. | Social Worker | 700 24th Street, Kenner Army Health Clinic, Fort Lee, VA 23801 | 2006-05-02 |
| 1083694871 | Jo Cordery | Social Worker | 700 24th Street, Fort Lee, VA 23801-1716 | 2006-01-18 |
| 1083690028 | Kimberly Ellen Newton | Registered Nurse | 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262384 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Ft. Lee 300 A Ave., Fort Lee, VA 23801 | 2018-07-26 |
| 1770812190 | Arkeye | Optometrist | 300 A Avenue, Bldg 1605, Fort Lee, VA 23801 | 2009-12-14 |
| 1992911044 | Claudis Andre' Williams Jr. | Physician Assistant | 700 24th St., Kenner Army Health Clinic, Ft. Lee, VA 23801 | 2007-05-15 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1538135157 | Laurie Sue Giertz | Physician Assistant | 700 24th St Apt Hill, Fort Lee, VA 23801 | 2006-02-24 |
| 1689653396 | Robert Keith Lather | Emergency Medicine | Kenner Army Health Clinic, Primary Care Division, Ft Lee, VA 23801 | 2006-01-11 |
| 1265418370 | Edward Cathright Jr. | Dentist | 504 Trenton Drive, Fort Lee, VA 23801 | 2005-12-20 |
| 1619147618 | Tahayya A. M Ansari | Physician Assistant | 700 24th St, Kenner Army Health Clinic, Fort Lee, VA 23801-0030 | 2008-03-05 |
| 1679557466 | Rhonda Latice Toms | Registered Nurse | 920 Jackson Cir, Fort Lee, VA 23801-1083 | 2005-12-05 |
| Find all providers in zip 23801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841777299 | Eun Ju Lee | Nurse Practitioner | 2100 Linwood Ave Apt 14d, Fort Lee, NJ 07024-3140 | 2018-07-27 |
| 1144671827 | Jerica Rikard | Nurse Practitioner | 1 Executive Dr Apt 221, Fort Lee, NJ 07024-3339 | 2016-06-24 |
| 1639576325 | Joonhye Kook | Nurse Practitioner | 2350 Linwood Ave, Apt 3d, Fort Lee, NJ 07024-3864 | 2014-11-25 |
| 1063979946 | Cecilia Chan | Nurse Practitioner | 1001 Anderson Ave, Fort Lee, NJ 07024-4225 | 2019-02-27 |
| 1497122998 | Brittany Cluney | Nurse Practitioner | 1530 Palisade Ave, Fort Lee, NJ 07024-5471 | 2015-08-31 |
| 1235578857 | Elizabeth Ramona Brown | Nurse Practitioner | 700 24th St, Fort Lee, VA 23801-1716 | 2013-06-17 |
| 1760670970 | Melissa Leigh Squires | Nurse Practitioner | 700 24th St, Fort Lee, VA 23801-1716 | 2007-10-12 |
| 1073655155 | Patricia Ann Coburn | Nurse Practitioner | 700 24th St, Kenner Army Health Clinic, Fort Lee, VA 23801-1716 | 2007-02-13 |
| 1336110824 | Janice Denise Grady | Nurse Practitioner | 700 24th St, Fort Lee, VA 23801-1716 | 2006-01-31 |
| 1659359982 | Sandra Heflin | Nurse Practitioner | 700 24th St, Fort Lee, VA 23801-1716 | 2006-01-06 |
| Find all providers in FORT LEE | ||||
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| 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.