DR. KEISHA HAMPTON PARKER DO, MBA
NPI 1184411894
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since April 24, 2025PECOS Enrolled
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 308-7372 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Keisha Hampton Parker Do, Mba NPPES

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

DR. KEISHA HAMPTON PARKER DO, MBA (NPI 1184411894) is an individual student in an organized health care education/training program in Jacksonville, Florida, licensed in Florida (UO10403) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184411894
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KEISHA HAMPTON PARKERCredential: DO, MBA
Location Address2627 RIVERSIDE AVEJacksonville, FL 32204-4717
Mailing Address2627 Riverside AveJacksonville, FL 32204-4717 · (904) 308-7372
Sole ProprietorYes
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
NPI 1184411894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in FL · UO10403
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2627 RIVERSIDE AVE, Jacksonville, FL 32204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Keisha Hampton Parker Do, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Physical Therapist
2627 RIVERSIDE AVE, 3RD FLOOR
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Physical Therapist
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Physical Therapist (Orthopedic)
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204

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 Keisha Parker's NPI number?

The NPI number for Keisha Parker is 1184411894. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Keisha Parker located?

Keisha Parker practices at 2627 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 308-7372.

What is Keisha Parker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keisha Parker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keisha Parker was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.