Carolyn Jean Parke, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

659001 Issued in TX

Practice address

5290 Medical Dr
San Antonio, TX 78229-4849

Phone

(210) 614-6000

Fax

(210) 614-7728

NPI assigned

Jan 17, 2008

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IAGJBD

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.

• James M Andry MD PA

  • Sleep Medicine (Internal Medicine) Physician
  • San Antonio, TX
  • NPI 1447406145
  Medicare reassignment NPD
• James M Andry MD PA

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1104393586
  NPD (past)
• Sleep Therapy & Research Center

  • Sleep Disorder Diagnostic Clinic/Center
  • San Antonio, TX
  • NPI 1386689917
  NPD (past)

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1073799219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-614-6000",
            "fax_number": "210-614-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-614-6000",
            "fax_number": "210-614-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKE",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "659001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379263201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeena Shinyoung Park
• Jinhee Park
• Kristin Park, MD
• Kristine Park, APRN
• Tiffany Ruth Park, DO
• Kathryn Anne Parke, DNP, ARNP,CPNP
• Alexander Parker
• Alicia Parker, M.D.
• Allan Law Parker, DO
• Amanda Lynn Parker, OT

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.