KIMIKO PARKS AGPCNP
NPI 1609393313
Nurse Practitioner in Southfield, MI

Active since August 23, 2017
29866 SPRING HILL DR, SOUTHFIELD, MI 48076(248) 798-3969 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2021, Nov 28, 2018, Aug 23, 2017 (3 updates tracked since 2017).

About Kimiko Parks Agpcnp NPPES

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

KIMIKO PARKS AGPCNP (NPI 1609393313) is an individual nurse practitioner in Southfield, Michigan, licensed in Michigan (4704276586) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1609393313
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMIKO PARKSCredential: AGPCNP
Location Address29866 SPRING HILL DRSouthfield, MI 48076-5735
Mailing Address19785 W 12 Mile Rd Ste 389Southfield, MI 48076-2584 · (248) 798-3969
Sole ProprietorYes
Enumeration DateAugust 23, 2017
Last NPPES UpdateFebruary 9, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
NPI 1609393313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704276586
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704276586 (MI)
29866 SPRING HILL DR, Southfield, MI 48076

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 Kimiko Parks's NPI number?

The NPI number for Kimiko Parks is 1609393313. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Kimiko Parks located?

Kimiko Parks practices at 29866 Spring Hill Dr, Southfield, MI 48076. The listed phone number is (248) 798-3969.

What is Kimiko Parks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kimiko Parks was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.