Individual provider Active NPI

Melinda Gould Parker, CNM, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1083677207
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20109 Issued in SC
Practice address
1113 44TH Ave N Ste 202
Myrtle Beach, SC 29577-5781
Phone
(843) 449-6261
Fax
(843) 376-9742
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 20109 SC Primary
Nurse Practitioner 363L00000X 20109 SC

Addresses

Primary practice location

1113 44TH Ave N Ste 202
Myrtle Beach, SC 29577-5781

Mailing address

1113 44TH Ave N Ste 202
Myrtle Beach, SC 29577-5781
Phone (843) 779-8089

Other practice location 1

1113 44th Ave N Ste 100
Myrtle Beach, SC 29577-5780
Phone (843) 779-8089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
20109SCMDOtolaryngology/Facial Plastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1083677207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 44TH AVE N STE 202",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775781",
            "telephone_number": "843-779-8089",
            "fax_number": "843-376-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 44TH AVE N STE 202",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775781",
            "telephone_number": "843-449-6261",
            "fax_number": "843-376-9742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 44th Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295775780",
            "country_code": "US",
            "telephone_number": "843-779-8089",
            "fax_number": "843-376-9742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MELINDA",
        "middle_name": "GOULD",
        "credential": "CNM, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "20109",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "20109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.