Provider Demographics
NPI:1831488543
Name:PARKER, CAROL ANN (CNP, MSN)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:PARKER
Suffix:
Gender:F
Credentials:CNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 PARKWALK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-1901
Mailing Address - Country:US
Mailing Address - Phone:513-226-2055
Mailing Address - Fax:513-681-7933
Practice Address - Street 1:8044 MONTGOMERY RD STE 700-7359
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2919
Practice Address - Country:US
Practice Address - Phone:513-372-5071
Practice Address - Fax:513-672-2544
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.15470-NP363LF0000X
AZ272194363LP0808X
OH15470-NP363LP0808X
WAAP61254943363LP0808X
WAMP7393426261QR0405X
OHMP3180724261QR0405X
OHRN316056163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0110949Medicaid
OH1831488543OtherNPI