Individual provider Active NPI

Breanna Parks, CNM

  • Advanced Practice Midwife
  • Dover, DE
National Provider Identifier
1346055720
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
LK-0010249 Issued in DE
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(302) 674-4700
NPI assigned
Feb 11, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X LK-0010249 DE Primary

Addresses

Primary practice location

640 S State St
Dover, DE 19901-3530

Mailing address

23168 Edelen Webster Rd
Deal Island, MD 21821-1512
Phone (757) 710-0303

Other practice location 1

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 422-3311

Other practice location 2

19405 Plantation Rd Unit 2
Rehoboth Beach, DE 19971-4488
Phone (302) 480-1919

Other practice location 3

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 480-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723004752 DE Practitioner - Certified Nurse Midwife (CNM) 5698295939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc Current Accepting new patients
Dedicated to Women OB-GYN, P.a. CurrentSince Jan 1, 2026 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jun 2, 2025 Accepting new patients
Beebe Physician Network, Inc. CurrentSince Jul 3, 2025 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jun 2, 2025 Accepting new patients

Locations

200 Banning St
Ste 320
Dover, DE 19904
Phone (302) 674-0223

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

19405 Plantation Rd
Rehoboth Beach, DE 19971
Phone (302) 480-1919

19405 Plantation Rd
Unit 2
Rehoboth Beach, DE 19971
Phone (302) 480-1919

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1346055720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23168 EDELEN WEBSTER RD",
            "city": "DEAL ISLAND",
            "state": "MD",
            "postal_code": "218211512",
            "telephone_number": "757-710-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-674-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199634364",
            "country_code": "US",
            "telephone_number": "302-422-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19405 Plantation Rd Unit 2",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714488",
            "country_code": "US",
            "telephone_number": "302-480-1919",
            "fax_number": "302-645-7945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "302-480-1919",
            "fax_number": "302-645-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "BREANNA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DE",
            "license": "LK-0010249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.