JODY M PARKS


Address: 2201 N Broadwell Ave, Grand Island, NE 68803-2153
Phone: 3083823660

JODY M PARKS (NPI# 1558995563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558995563
Entity Type Individual
Full Name JODY M PARKS
Credential APRN
Practice Address 2201 N Broadwell Ave
Grand Island
NE 68803-2153
Practice Telephone 3083823660
Mailing Telephone 3083823660
Enumeration Date 2020-02-28
Last Update Date 2020-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
113096 NE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2201 N BROADWELL AVE
City GRAND ISLAND
State NE
Zip Code 68803-2153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821082603 Moncarm A Fouche Internal Medicine 2201 N Broadwell Ave, Grand Island, NE 68803-2153 2005-09-07
1073110912 Jo A Griffith Social Worker 2201 N Broadwell Ave, Grand Island, NE 68803-2153 2020-10-05
1649893561 Kyle Robert Hotovy Audiologist 2201 N Broadwell Ave, Grand Island, NE 68803-2153 2020-05-27
1013561257 Robert Eric Kopcznski Nurse Practitioner 2201 N Broadwell Ave, Grand Island, NE 68803-2153 2019-07-25
1588217350 Christina Ann Wilkinson Pharmacist 2201 N Broadwell Ave, Grand Island, NE 68803-2153 2019-07-22
1942764352 Kaitlin Brazil Counselor 2201 N Broadwell Ave, Grand Island, NE 68803-2153 2019-01-30
1942797410 Jillian Lynn Murphy Pharmacist 2201 N Broadwell Ave, Grand Island, NE 68803-2153 2018-04-19
1447769328 Andrea Lea Hardin Radiology 2201 N Broadwell Ave, Grand Island, NE 68803-2153 2017-09-23
1639696578 Tyler Morris Pool Audiologist 2201 N Broadwell Ave, Grand Island, NE 68803-2153 2017-08-22
1710355128 Michael Keiser Pharmacist 2201 N Broadwell Ave, Grand Island, NE 68803-2153 2015-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467053884 Christopher Patrin Counselor 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 2020-11-03
1942848593 Specialized Outpatient Services Counselor 1811 West 2nd Street Suite 450, Grand Island, NE 68803 2019-12-13
1558910604 Grand Island Regional Medical Center General Acute Care Hospital 3533 Prairieview Street, Grand Island, NE 68803 2019-09-10
1992225817 Destiny Mostek Dietitian, Registered 2201 N. Broadwell Ave, Grand Island, NE 68803 2017-06-21
1184150591 Brandy Rae Bird Registered Nurse Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 2017-05-04
1831633171 Karla Jean Sextro Counselor 2112 W. Faidley Ave, Grand Island, NE 68803 2016-12-06
1689062895 Good Hands Clinic PC Specialist 524 South Webb Rd, Suite 1, Grand Island, NE 68803 2014-12-23
1346664554 Lindsey M Modlin Dental Hygienist 4234 New York Ave, Grandi Island, NE 68803 2014-02-07
1568711711 Danessa Marie Kenney Counselor 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 2012-09-04
1649528563 Nicole Morris Physical Therapist 2116 Faidley Ave, Grand Island, NE 68803 2012-08-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073090049 Resilience Mental Health Services, LLC Nurse Practitioner 2820 E Us Highway 34 Ste 2, Grand Island, NE 68801-9734 2018-07-23
1760474886 Linda Berry Nurse Practitioner 2121 N Webb Rd Ste 100a, Grand Island, NE 68803-1751 2005-08-16
1588265615 Celianne Marie Bacon Nurse Practitioner 1917 W Faidley Ave, Grand Island, NE 68803-4642 2020-11-04
1447614615 Cfc Health Associates LLC Nurse Practitioner 908 N Howard Ave, Suite 102, Grand Island, NE 68803-3556 2016-04-13
1922463926 Complete Family Care LLC Nurse Practitioner 908 N Howard Ave, Suite 108, Grand Island, NE 68803-3556 2015-12-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477186757 Huong Le Psychiatric Care LLC Nurse Practitioner 4444 S 86th St Ste 102, Lincoln, NE 68526-9253 2020-02-15
1881233070 Diane Margaret Teadtke Nurse Practitioner 52518 890 Rd, Niobrara, NE 68760-7003 2020-01-05
1730724584 Amberger LLC Nurse Practitioner 3610 N 163rd Plz Ste 207, Omaha, NE 68116-2164 2019-11-14
1891252219 Shayla Hinrichsen Nurse Practitioner 5539 S 27th St Ste 101, Lincoln, NE 68512-1600 2019-02-21
1871092353 Janette Elaine Thomas Stallings Nurse Practitioner 706 N 129th St Ste 111, Omaha, NE 68154-6116 2018-02-09
1336680396 Kristi Bose Nurse Practitioner 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 2017-03-10
1356885024 Pro Care Mental Health Inc Nurse Practitioner 421 S 243rd St, Waterloo, NE 68069-4704 2016-12-14
1396293502 Meaningful Psychiatric Services LLC Nurse Practitioner 9338 Forest Glen Dr, Lincoln, NE 68526-9636 2016-09-15
1871048959 Refuge Mental Health Services, LLC Nurse Practitioner 8045 L St Ste 4, Omaha, NE 68127-1746 2016-08-18
1801341987 Janelle Hill Nurse Practitioner 4610 S. 133rd Street Suite 109, Omaha, NE 68127 2016-08-18
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Competitor

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City GRAND ISLAND
Zip Code 68803

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Dataset Information

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.

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