MRS. KATHLEEN ROSE PARKER RN PNP-BC NPI 1316944770

NPI Information

NPI: 1316944770
Provider Name: MRS. KATHLEEN ROSE PARKER, RN, PNP-BC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1555 LONG POND RD
ROCHESTER, NY
ZIP 14626
Phone: (585) 368-4012
Get Directions

MRS. Kathleen Rose Parker, RN, PNP-BC is a pediatrics nurse practitioner in Rochester, NY. MRS. Kathleen Rose Parker, RN, PNP-BC NPI is 1316944770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1555 LONG POND RD
ROCHESTER, NY
ZIP 14626-122
Phone: (585) 368-4012
Fax: (585) 723-7470

The NPI 1316944770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 12/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	380878-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9512159	OTHER		IHA
2	01877861	MEDICAID	NEW YORK
3	000560245002	OTHER		COMM BLUE
4	NP0052	OTHER		PREF CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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