Individual provider Active NPI

Catherine Campbell Parker, NP

  • Family Nurse Practitioner
  • Bristol, VA
National Provider Identifier
1003025727
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024082624 Issued in VA
Practice address
1662 Bonham Rd
Bristol, VA 24201-2090
Phone
(276) 644-9899
Fax
(276) 644-9978
NPI assigned
May 21, 2007
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024082624 VA
Family Nurse Practitioner 363LF0000X 0024082624 VA Primary

Addresses

Primary practice location

1662 Bonham Rd
Bristol, VA 24201-2090

Mailing address

4014 Drake Cir
Roanoke, VA 24019-6729
Phone (540) 561-0695

Other practice location 1

3716 Melrose Ave NW
Roanoke, VA 24017-2716
Phone (540) 362-0360

Other identifiers 3

IdentifierTypeStateIssuer
0001082624OtherVASTATE LICENSE
1003025727MedicaidVA
0024082624OtherVASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000847 VA Practitioner - Nurse Practitioner 6305911124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
East Tennessee Recovery PLLCGroup PAC ID 9436434909, 19 clinicians

Practice addresses (Care Compare)

1662 Bonham Rd
Bristol, VA 24201-2090
Phone (276) 644-9899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024082624VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Recovery, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Kuumba Community Health & Wellness Center, Inc. CurrentSince Jul 20, 2014 Accepting new patients
Applegate Health Services, Inc CurrentSince Jun 1, 2025 Accepting new patients
Kuumba Community Health & Wellness Center, Inc. CurrentSince Jul 20, 2014 Accepting new patients

Locations

2408 Susannah St
Ste 1
Johnson City, TN 37601
Phone (423) 282-5054

1662 Bonham Rd
Bristol, VA 24201
Phone (276) 644-9899

1725 Park Ave SW
Norton, VA 24273
Phone (276) 409-5922

2011 2nd St
Richlands, VA 24641
Phone (276) 345-9900

3716 Melrose Ave NW
Roanoke, VA 24017
Phone (540) 362-0360

Interoperability endpoints

  • FHIR API: https://epicproxy.et0600.epichosted.com/APIProxyPRD/api/FHIR/R4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1003025727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 DRAKE CIR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240196729",
            "telephone_number": "540-561-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 BONHAM RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242012090",
            "telephone_number": "276-644-9899",
            "fax_number": "276-644-9978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3716 Melrose Ave NW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240172716",
            "country_code": "US",
            "telephone_number": "540-362-0360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CATHERINE",
        "middle_name": "CAMPBELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024082624",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024082624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0001082624",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003025727",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0024082624",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.