Healthcare Provider Details

I. General information

NPI: 1821929951
Provider Name (Legal Business Name): NIKI PARSONS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 MACK RD
FAIRFIELD OH
45014
US

IV. Provider business mailing address

1119 BAUER RD
SOMERVILLE OH
45064-9464
US

V. Phone/Fax

Practice location:
  • Phone: 513-774-2400
  • Fax:
Mailing address:
  • Phone: 513-255-1731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.528625
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: