MRS. KELLY POTTER PARKS (NPI# 1184746026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184746026 |
| Entity Type | Individual |
| Full Name | MRS. KELLY POTTER PARKS |
| Credential | PA-C |
| Practice Address |
121 S Front St Seaford DE 19973-3511 |
| Mailing Address |
7817 Grace Cir Seaford DE 19973-4337 |
| Practice Telephone | 3026295030 |
| Practice Fax Number | 3026295035 |
| Mailing Telephone | 3026283229 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C5-0000165 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | STATE LICENSE NUMBER | C5-0000165 | 01 |
| DE | STATE PRESCRIPTION NUMBER | RXPA02015 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962854471 | Kelly Parks | Podiatrist | 795 E 2nd St Ste 7, Pomona, CA 91766-2007 | 2016-07-08 |
| 1003462615 | Kelly Marie Parks | Nurse Practitioner | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2019-08-11 |
| Street Address |
121 S FRONT ST |
| City | SEAFORD |
| State | DE |
| Zip Code | 19973-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718972 | Deepa Abhilash | Nurse Practitioner | Nanticoke Memorial Hospital, 801, Middleford Rd, Milford, DE 19973 | 2020-04-09 |
| 1215477997 | Ekta Sharma | Physical Therapist | 715 King Street, Lofland Park Center, Seaford, DE 19973 | 2017-03-01 |
| 1497126981 | Christopher M. Heisey | Podiatrist | 543 N Shipley St Ste C, Seaford, DE 19973 | 2015-10-09 |
| 1083035026 | Angela Childs | Radiologic Technologist | 801 Road 535, Seaford, DE 19973 | 2013-12-18 |
| 1831531375 | Jennifer Willis-lal | Physical Therapist | 28091 Barley Run, Seaford, DE 19973 | 2013-07-25 |
| 1972820017 | Pain Treatment and Anesthesia Management Services, LLC | Pain Medicine | 400 Health Services Dr Ste 401, Seaford, DE 19973 | 2010-04-29 |
| 1275737652 | Ronald Concha Parra | Internal Medicine | 701 Middleford Road, Seaford, DE 19973 | 2007-06-12 |
| 1013034172 | Jiloca Dejesus Jiloca Mdpa | Family Medicine | 105 A Front Street, Seaford, DE 19973 | 2007-03-23 |
| 1922122043 | Carla K. Linder | Counselor | 109 Rivers End Dr., Seaford, DE 19973 | 2007-03-16 |
| 1558494385 | Edwin J Juste | Chiropractor | 608 North Porter Street, Seaford, DE 19973 | 2007-03-13 |
| Find all providers in zip 19973 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493234 | Adam Joseph Drucker | Physician Assistant | 3578 Waverly Ave, Seaford, NY 11783-2740 | 2019-02-14 |
| 1376538330 | Leah Higgins | Physician Assistant | 1350 Middleford Rd, Ste 502, Seaford, DE 19973-3664 | 2005-09-15 |
| 1598312076 | Justin Allen | Physician Assistant | 200 Federal St, Seaford, DE 19973-5764 | 2019-08-20 |
| 1912459637 | Mitchell Jamison | Physician Assistant | 200 Federal St, Seaford, DE 19973-5764 | 2016-10-28 |
| 1023256955 | Beth Ann Rossi | Physician Assistant | 8468 Herring Run Rd, Seaford, DE 19973-5763 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821658675 | Matthew Hisler Hrin | Physician Assistant | 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 | 2019-06-14 |
| 1093167272 | Coty Kalbach | Physician Assistant | 722 Yorklyn Rd Ste 400, Hockessin, DE 19707-8740 | 2016-07-12 |
| 1457702177 | Jacinta Hollinger | Physician Assistant | C78-80 Omega Dr, Newark, DE 19713-2076 | 2016-06-23 |
| 1376909226 | Devon Courtney | Physician Assistant | 502 Lantana Dr, Hockessin, DE 19707-8813 | 2016-01-07 |
| 1568833010 | N. Barton & Associates Inc. | Physician Assistant | 3629 Old Capitol Trl, Wilmington, DE 19808-6025 | 2015-10-09 |
| 1851709877 | Bethany Anne Melo | Physician Assistant | 4755 Ogletown Stanton Rd Fl 3, Newark, DE 19718-2200 | 2014-07-23 |
| 1669758454 | Melanie J Marinelli | Physician Assistant | 400 Savannah Rd., #b, Lewes, DE 19958 | 2011-10-25 |
| 1811156300 | Carla Judith Papa | Physician Assistant | 411 Cheer Ct, Lums Pond Estates Lll, Bear, DE 19701-3366 | 2008-06-09 |
| 1679741987 | Amy L Strasser | Physician Assistant | 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 | 2008-02-20 |
| 1669657623 | John Stewart Constance | Physician Assistant | Christiana Care Health System Dept of Medicine, 4755 Ogletown-stanton Rd., Newark, DE 19718-0001 | 2008-01-08 |
| Find all providers with the same taxonomy | ||||
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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.