Provider Demographics
NPI:1790769909
Name:PARKER, KAREN S (RN ARNP CRNA)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:S
Last Name:PARKER
Suffix:
Gender:F
Credentials:RN ARNP CRNA
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:S
Other - Last Name:BARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN ARNP CRNA
Mailing Address - Street 1:1701 S 45TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-2527
Mailing Address - Country:US
Mailing Address - Phone:913-721-3641
Mailing Address - Fax:913-721-3649
Practice Address - Street 1:1701 S 45TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-2527
Practice Address - Country:US
Practice Address - Phone:913-721-3641
Practice Address - Fax:913-721-3649
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO076500163W00000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO10001568701OtherCOMMUNITY HEALTH PLAN
5717143OtherFIRST HEALTH
MOP00368179OtherRAILROAD MEDICARE
KS145352OtherBLUE CROSS BLUE SHIELD KS
MO913589339Medicaid
KSP01230556OtherRAILROAD MEDICARE
MO18809093OtherBLUE CROSS BLUE SHIELD KC
KSP00365455OtherRAILROAD MEDICARE
KS6244OtherPREFERRED HEALTH SYSTEMS
66048A014OtherTRICARE WPS
KS100287120DMedicaid
MOP00368179OtherRAILROAD MEDICARE
MO18809093OtherBLUE CROSS BLUE SHIELD KC
5717143OtherFIRST HEALTH
KS145352Medicare PIN
KSW49B00002Medicare PIN
KS145352OtherBLUE CROSS BLUE SHIELD KS
KS100287120DMedicaid
MO913589339Medicaid