Active NPI
Paula Deletha Parker, FNP
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0000014915
- Practice address
- 2050 Meadowview Pkwy
Kingsport, TN 37660-7475 - Phone
- (423) 230-5000
- Fax
- (423) 230-5035
- NPI assigned
- Jul 26, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0000014915 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024190592 | VA |
Addresses
Primary practice location
2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
127 Health Care Dr Ste 3
Pennington Gap, VA 24277-2853
Phone (423) 230-5000
Other practice location 2
1490 Park Ave NW Ste 3C
Norton, VA 24273-1631
Phone (276) 679-0252
Other practice location 3
743 Island Rd
Bristol, VA 24201-7403
Phone (276) 469-4200
Other practice location 4
115 Judge Gresham Rd Ste A
Gray, TN 37615-6213
Phone (423) 467-3000
Other practice location 5
671 Highway 58 E
Norton, VA 24273-3007
Phone (276) 679-5874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
127 Health Care Dr
Suite 3
Pennington Gap, VA 24277-2853
Phone (276) 679-0252
2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000014915 | TN | MD | Family Nurse Practitioner |
| 0024190592 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Cardiology Services | Family | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients |
Locations
115 Judge Gresham Rd
Ste A
Gray, TN 37615
Phone (423) 467-3000
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
2050 Meadowview Pkwy
Kingsport, TN 37660
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200
1490 Park Ave NW
Ste 3C
Norton, VA 24273
Phone (276) 439-1385
671 Highway 58 E
Norton, VA 24273
Phone (276) 679-5874
127 Health Care Dr
Ste 3
Pennington Gap, VA 24277
Phone (276) 299-5000
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Kingsport, TN
- NPI 1376575035
Family, VA
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Urgent Care Clinic/Center
- Gray, TN
- NPI 1144770934
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1285912196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 MEADOWVIEW PKWY",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376607475",
"telephone_number": "423-230-5000",
"fax_number": "423-230-5035"
}
],
"practiceLocations": [
{
"address_1": "127 Health Care Dr Ste 3",
"address_purpose": "LOCATION",
"city": "Pennington Gap",
"state": "VA",
"postal_code": "242772853",
"country_code": "US",
"telephone_number": "423-230-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1490 Park Ave NW Ste 3C",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "VA",
"postal_code": "242731631",
"country_code": "US",
"telephone_number": "276-679-0252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "743 Island Rd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "VA",
"postal_code": "242017403",
"country_code": "US",
"telephone_number": "276-469-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Judge Gresham Rd Ste A",
"address_purpose": "LOCATION",
"city": "Gray",
"state": "TN",
"postal_code": "376156213",
"country_code": "US",
"telephone_number": "423-467-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "671 Highway 58 E",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "VA",
"postal_code": "242733007",
"country_code": "US",
"telephone_number": "276-679-5874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "PAULA",
"middle_name": "DELETHA",
"name_prefix": "Miss",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "0000014915",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024190592",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.