Kristine M Parke, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20030112 Issued in NM

Practice address

510 N Guadalupe St Ste C1-C2
Santa Fe, NM 87501-6510

Phone

(505) 913-4660

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Geisel School of Medicine at Dartmouth, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Albuquerque, NM, CCN 327070
• Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
• Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kparke164869@christushealth.direct-ci.net

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.

• St Vincent Hospital

  • Pediatrics Physician
  • Santa Fe, NM
  • NPI 1063367803

  NM

  Medicare reassignment Care Compare group
• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  Care Compare group NPD
• St. Vincent Hospital

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1245438647

  Family Medicine

  Care Compare group NPD
• St Vincent Hospital

  • Community/Retail Pharmacy
  • Santa Fe, NM
  • NPI 1144689514
  Care Compare group
• St Vincent Hospital

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Santa Fe, NM
  • NPI 1508403528
  Care Compare group
• St. Vincent Hospital

  • Psychiatric Hospital Unit
  • Santa Fe, NM
  • NPI 1154477941
  Care Compare group
• St. Vincent Hospital

  • Specialty Pharmacy
  • Santa Fe, NM
  • NPI 1366980427
  Care Compare group
• St. Vincent Hospital

  • Rehabilitation Hospital Unit
  • Santa Fe, NM
  • NPI 1619290111
  Care Compare group
• St. Vincent Hospital

  • Neurology Physician
  • Santa Fe, NM
  • NPI 1831493584
  Care Compare group
• St Vincent Hospital

  • Obstetrics & Gynecology Physician
  • Santa Fe, NM
  • NPI 1285829366
  NPD
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

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

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Albuquerque, NM
  • NPI 1295761997
  Care Compare affiliation
• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150

  Hospital

  Care Compare affiliation
• Taos Health Systems Inc Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958

  Hospital

  Care Compare affiliation
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1174512008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N GUADALUPE ST STE C1-C2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875016510",
            "telephone_number": "505-913-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N GUADALUPE ST STE C1-C2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875016510",
            "telephone_number": "505-913-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKE",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "20030112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLANS",
            "identifier": "202019234",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "15389",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2362512",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NM",
            "identifier": "NM002A15",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "10012787",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16929781",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Katherine Parchman, LMHC
• Jude Pardee, PHD
• Cleveland Hendrick Pardue III, MD
• Elise Pardue, LPCC
• Abigail Park, MS OTR/L
• Bill Dean Parker, D.D.S.
• Carol Lucille Parker, PH.D. LPCC
• Elizabeth R Parker, MSPT
• Haley Marcene Parker, DOM
• Johanna Parker

• All providers in Santa Fe, NM
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.

Verify at the official NPI Registry.