KAREEMAH PALACE PARKER
NPI 1093201204
Dietitian, Registered in Philadelphia, PA

Active since July 11, 2018
1331 E WYOMING AVE, PHILADELPHIA, PA 19124(215) 707-1622 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 26, 2026, Dec 27, 2021, Jul 11, 2018 (3 updates tracked since 2018).

About Kareemah Palace Parker NPPES

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

KAREEMAH PALACE PARKER (NPI 1093201204) is an individual dietitian, registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (DN006088) and active in the NPI registry since July 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093201204
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKAREEMAH PALACE PARKER
Location Address1331 E WYOMING AVEPhiladelphia, PA 19124-3808
Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105
Sole ProprietorNo
Enumeration DateJuly 11, 2018
Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1093201204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in PA · DN006088
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License L-163149 (PA)
1331 E WYOMING AVE, Philadelphia, PA 19124

Secondary Practice Locations 2

Location 1150 Monument Rd Ste 207Bala Cynwyd, PA 19004-1725 · Phone (800) 203-8657 · Fax (800) 258-1426
Location 2750 Beech AveGlenolden, PA 19036-1104 · Phone (267) 968-8580

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kareemah Palace Parker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kareemah Parker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
3601 A ST
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pharmacist
1331 E WYOMING AVE, PHARMACY & NUTRITION SHOPPE
PHILADELPHIA, PA 19124
Internal Medicine (Hematology & Oncology)
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Respiratory Therapist, Registered
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Pharmacy
1331 E WYOMING AVE
PHILA, PA 19124
Social Worker (Clinical)
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Anesthesiology
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Physical Therapist
1331 E WYOMING AVE, SUITE 4120
PHILADELPHIA, PA 19124
Physical Therapist
1331 E WYOMING AVE, SUITE 4120
PHILADELPHIA, PA 19124

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 Kareemah Parker's NPI number?

The NPI number for Kareemah Parker is 1093201204. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Kareemah Parker located?

Kareemah Parker practices at 1331 E Wyoming Ave, Philadelphia, PA 19124. The listed phone number is (215) 707-1622.

What is Kareemah Parker's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kareemah Parker enrolled in Medicare?

Yes. Kareemah Parker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kareemah Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kareemah Parker reassigns Medicare benefits to Temple Faculty Practice Plan, Inc (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kareemah Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kareemah Parker was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.