MICHELLE PARKS (NPI# 1336547736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336547736 |
| Entity Type | Individual |
| Full Name | MICHELLE PARKS |
| Credential | RN |
| Practice Address |
909 E State Blvd Fort Wayne IN 46805-3404 |
| Practice Telephone | 2604812700 |
| Practice Fax Number | 2604812709 |
| Mailing Telephone | 2604812700 |
| Mailing Fax Number | 2604812709 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 28185088A | IN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952952376 | Michelle Parks | Pharmacist | 1963 Memorial Pkwy Sw Ste 14, Huntsville, AL 35801-5035 | 2019-09-26 |
| 1356827489 | Michelle Parks | Dentist | 11065 Pacific Crest Pl Nw Ste B105, Silverdale, WA 98383-6607 | 2018-07-11 |
| Street Address |
909 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664419 | Richard A Horstmeyer | Family Medicine | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2005-10-24 |
| 1174132674 | Rachel Lee Taykowski | Social Worker | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-30 |
| 1831708510 | Alexandra Leroy | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-28 |
| 1881203560 | Timothy James Prentice | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-28 |
| 1922617620 | Elise S. Beech | Social Worker | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-28 |
| 1457972481 | David D Hibish | Case Manager/Care Coordinator | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-04-30 |
| 1790317667 | Jill Elizabeth Surine | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-02-10 |
| 1851923627 | Emily Redman | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-02-10 |
| 1912537325 | Estrella Devia | Case Manager/Care Coordinator | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-01-24 |
| 1083252548 | Amber Ginet O'daniels | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053930636 | Charice N Carver | Registered Nurse | 1930 Mathias St, Fort Wayne, IN 46815-7119 | 2020-04-13 |
| 1831653070 | Katherine Jane Frey | Registered Nurse | 10228 Dupont Circle Dr E Ste 100, Fort Wayne, IN 46825-1611 | 2019-01-22 |
| 1861989170 | Stephany Roach | Registered Nurse | 4012 Lahmeyer Rd, Fort Wayne, IN 46815-5622 | 2018-04-23 |
| 1265948343 | Kayla Doran | Registered Nurse | 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845-1733 | 2017-12-27 |
| 1831561372 | Molly Patricia Daugherty | Registered Nurse | 832 Rollingwood Ln, Fort Wayne, IN 46845-1053 | 2015-10-23 |
| 1558769687 | Desiree Heim | Registered Nurse | 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825-1609 | 2014-12-05 |
| 1194163998 | Samuel Maina Gichuhi | Registered Nurse | 1049 Tennessee Ave, Fort Wayne, IN 46805-4267 | 2013-06-13 |
| 1558705442 | Elissa Kipfer | Registered Nurse | 10524 Longwood Dr, Fort Wayne, IN 46845-1635 | 2013-04-22 |
| 1255698270 | Amber Jean Mccoy | Registered Nurse | 6114 Gate Tree Lane, Fort Wayne, IN 46835-2746 | 2012-04-16 |
| 1558511550 | Sybrenia Lynn Burton | Registered Nurse | 1816 Montgomery Ct, Fort Wayne, IN 46815-7485 | 2008-09-25 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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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.