Active NPI
Sandra M Parks, FNP-BC
- Family Nurse Practitioner
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 940023
- Practice address
- 201 Government Cir
Greenville, NC 27834-8198 - Phone
- (252) 902-2305
- Fax
- (252) 413-1433
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 940023 | NC | Primary |
Addresses
Primary practice location
201 Government Cir
Greenville, NC 27834-8198
Mailing address
3003 Phillips Rd
Greenville, NC 27834-4931
Phone (252) 321-7457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 NC Hwy 42 W
Ahoskie, NC 27910-9743
Phone (252) 439-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 940023 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Pitt Office of Auditor | Current | Accepting new patients | |
| Carolina Clinic for Health and Wellness PA | Current | Accepting new patients | |
| Integrated Family Services PLLC | Current | Accepting new patients | |
| Integrated Family Services PLLC | Current | Accepting new patients |
Locations
202 NC Highway 42 W
Ahoskie, NC 27910
Phone (252) 332-5917
3001 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 347-8642
201 Government Cir
Greenville, NC 27834
Phone (252) 902-2305
2459 Emerald Pl
Ste 102
Greenville, NC 27834
Phone (252) 695-0424
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Ahoskie, NC
- NPI 1942289244
-
- Family Medicine Physician
- Greenville, NC
- NPI 1679998348
-
- General Practice Physician
- Greenville, NC
- NPI 1053777821
-
- Clinical Social Worker
- Elizabeth City, NC
- NPI 1629205208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063573129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 PHILLIPS RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344931",
"telephone_number": "252-321-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 GOVERNMENT CIR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278348198",
"telephone_number": "252-902-2305",
"fax_number": "252-413-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "SANDRA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "940023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.