MR. CEDRIC BERTRAND PARKER (NPI# 1366566994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366566994 |
| Entity Type | Individual |
| Full Name | MR. CEDRIC BERTRAND PARKER |
| Credential | R.N |
| Practice Address |
6040 Edmund St Romulus MI 48174-4449 |
| Practice Telephone | 3130067473 |
| Practice Fax Number | 7343316446 |
| Mailing Telephone | 3130067473 |
| Mailing Fax Number | 7343316446 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
4704222301 | MI | Nursing Service Providers |
| Street Address |
6040 EDMUND ST |
| City | ROMULUS |
| State | MI |
| Zip Code | 48174-4449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
| 1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
| 1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
| 1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
| 1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
| 1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
| 1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
| 1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
| 1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
| 1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
| Find all providers in zip 48174 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427669969 | K & M Medical & Catastrophic Management, LLC | Registered Nurse | 3005 E 11 Mile Rd, Warren, MI 48092-3523 | 2020-08-10 |
| 1194347211 | Martin James Leonard | Registered Nurse | 3067 Beach Lake Dr E, Milford, MI 48380-2864 | 2020-05-12 |
| 1104460971 | Lovingprivatecare71 LLC | Registered Nurse | 24020 Sunnypoint Dr, Southfield, MI 48033-2907 | 2019-11-04 |
| 1497217822 | James Henry Wood | Registered Nurse | 50 W Big Beaver Rd Ste 90, Bloomfield Hills, MI 48304-3910 | 2019-04-04 |
| 1295207991 | Jacqueline Hodges | Registered Nurse | 15404 Ilene St, Detroit, MI 48238-1042 | 2018-12-19 |
| 1396211702 | Julius Militante | Registered Nurse | 3101 Vineyard Ln, Flushing, MI 48433-2435 | 2018-10-23 |
| 1992293567 | Kathleen Drew | Registered Nurse | 24801 5 Mile Rd Ste 7, Redford, MI 48239-3653 | 2018-04-28 |
| 1033622667 | Julie Ann Bise | Registered Nurse | 10555 Enterprise Dr Ste 314, Davisburg, MI 48350-1338 | 2017-11-06 |
| 1376054262 | Carrie Allan | Registered Nurse | 39067 Salem Dr, Clinton Township, MI 48038-2857 | 2017-10-18 |
| 1942733050 | Jennifer Bartkowiak-wise | Registered Nurse | 4320 N 11 Mile Rd, Pinconning, MI 48650-7976 | 2017-04-05 |
| 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.