ANTANISHA L PARKS
NPI 1083556427
Physician Assistant - Surgical in Saint Louis, MO

Active since April 06, 2026
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antanisha L Parks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTANISHA L PARKS (NPI 1083556427) is an individual surgical provider in Saint Louis, Missouri and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1083556427
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANTANISHA L PARKS
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address3502 Green Bay Rd Apt 207North Chicago, IL 60064-3616
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 5, 2026
NPI 1083556427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
915 N GRAND BLVD, Saint Louis, MO 63106

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antanisha Parks's NPI number?

The NPI number for Antanisha Parks is 1083556427. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Antanisha Parks located?

Antanisha Parks practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Antanisha Parks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Antanisha Parks was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.