KATHERINE MARIE PARKS MD
NPI 1689251498
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Katherine Parks's NPI number?

The NPI number for Katherine Parks is 1689251498. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Katherine Parks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katherine Parks was last updated on March 26, 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.

Active since March 26, 2021PECOS Enrolled

22151 MOROSS RD STE 214, DETROIT, MI 48236(313) 343-4867(313) 343-3280 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Katherine Marie Parks Md NPPES

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

KATHERINE MARIE PARKS MD (NPI 1689251498) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689251498

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKATHERINE MARIE PARKSCredential: MD

Location Address22151 MOROSS RD STE 214Detroit, MI 48236-2151

Mailing Address22151 Moross Rd Ste 214Detroit, MI 48236-2151 · (313) 343-4867 · Fax (313) 343-3280

Phone(313) 343-4867

Fax(313) 343-3280

Sole ProprietorNo

Enumeration DateMarch 26, 2021

NPPES CertifiedMarch 26, 2021

✔ NPI 1689251498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

22151 MOROSS RD STE 214, Detroit, MI 48236

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Marie Parks Md 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.

NOUR HASSAN MD

Student in an Organized Health Care Education/Training Program