Individual provider Active NPI

Natalie Renae Parks, DNP, FNP-C

  • Family Medicine Physician
  • Pocomoke City, MD
National Provider Identifier
1124707849
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R236679 Issued in MD
Practice address
305 10TH St
Pocomoke City, MD 21851-1607
Phone
(410) 912-6167
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R236679 MD Primary

Addresses

Primary practice location

305 10TH St
Pocomoke City, MD 21851-1607

Mailing address

305 10TH St
Pocomoke City, MD 21851-1607
Phone (410) 912-6167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230811001585 MD Practitioner - Nurse Practitioner 5496117178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Primary Care LLCGroup PAC ID 7911320635, 63 clinicians

Practice addresses (Care Compare)

305 10TH St
Pocomoke City, MD 21851-1607
Phone (410) 957-3011

400 Eastern Shore Dr
Salisbury, MD 21804-5513
Phone (410) 543-8240

Hospital & facility affiliations

  • Homecall Home health agency, Easton, MD, CCN 217066
  • Kind Hearts Home health agency, Oak Hall, VA, CCN 497768
  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R236679MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Primary Care, LLC Family Medicine CurrentSince Aug 7, 2023 Accepting new patients
Ydiprmc LLC CurrentSince Feb 19, 2024 Accepting new patients

Locations

305 10th St
Pocomoke City, MD 21851
Phone (410) 957-0273

305 10th St
Ste 101
Pocomoke City, MD 21851
Phone (410) 912-6167

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

327 Tilghman Rd
Ste 200
Salisbury, MD 21804
Phone (410) 334-6351

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1124707849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 10TH ST",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511607",
            "telephone_number": "410-912-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 10TH ST",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511607",
            "telephone_number": "410-912-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "NATALIE",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R236679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocomoke City, MD

Sources for this page

Verify at the official NPI Registry.