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LAKISHA SHANTAYE PARKS LPN
NPI 1578118378
Licensed Practical Nurse in Bridgeport, MI

Active since August 08, 2019
4200 EMERALD DR, BRIDGEPORT, MI 48722(989) 372-3691 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 6, 2025, Aug 8, 2019 (2 updates tracked since 2019).

About Lakisha Shantaye Parks Lpn NPPES

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

LAKISHA SHANTAYE PARKS LPN (NPI 1578118378) is an individual licensed practical nurse in Bridgeport, Michigan, licensed in Michigan (4703117282) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1578118378
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLAKISHA SHANTAYE PARKSCredential: LPN
Location Address4200 EMERALD DRBridgeport, MI 48722-9520
Mailing Address339 S 25th StSaginaw, MI 48601-6337 · (989) 372-3691
Phone(989) 372-3691
Sole ProprietorYes
Enumeration DateAugust 8, 2019
Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1578118378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703117282
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4200 EMERALD DR, Bridgeport, MI 48722
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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 Lakisha Parks's NPI number?

The NPI number for Lakisha Parks is 1578118378. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Lakisha Parks located?

Lakisha Parks practices at 4200 Emerald Dr, Bridgeport, MI 48722. The listed phone number is (989) 372-3691.

What is Lakisha Parks's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lakisha Parks was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.