Healthcare Provider Details

I. General information

NPI: 1972845907
Provider Name (Legal Business Name): ASHLEY A PARKER RD, RN, BSN, CPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY CHAMBERS RD

II. Dates (important events)

Enumeration Date: 03/16/2013
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 RILEY HOSPITAL DR
INDIANAPOLIS IN
46202-5109
US

IV. Provider business mailing address

PO BOX 778912
CHICAGO IL
60677-8912
US

V. Phone/Fax

Practice location:
  • Phone: 317-944-8906
  • Fax: 317-944-9330
Mailing address:
  • Phone: 317-777-6435
  • Fax: 317-777-6644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number28250206A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number37002278A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number71016808A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: