Active NPI
Jacqueline Nicole Parks, APRN
- Primary Care Nurse Practitioner
- Asheville, NC
National Provider Identifier
1437893336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 31649
- Practice address
- 1100 Tunnel Rd
Asheville, NC 28805-2576 - Phone
- (828) 298-7911
- Fax
- (828) 299-5897
- NPI assigned
- Apr 26, 2022
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 31649 | TN | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 31649 | TN |
Addresses
Primary practice location
1100 Tunnel Rd
Asheville, NC 28805-2576
Mailing address
1100 Tunnel Rd
Asheville, NC 28805-2576
Phone (828) 298-7911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jacqueline.parks@hardemanhealth.org | Health Information Exchange (HIE) |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31649 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- jacqueline.parks.p1@direct.hcchc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1437893336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 TUNNEL RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288052576",
"telephone_number": "828-298-7911",
"fax_number": "828-299-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 TUNNEL RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288052576",
"telephone_number": "828-298-7911",
"fax_number": "828-299-5897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "JACQUELINE",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-26",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TN",
"license": "31649",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "31649",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jacqueline.parks@hardemanhealth.org",
"affiliation": "N",
"endpointDescription": "office email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "healthcare clinic office email",
"address_1": "629 Nuckolls Rd",
"city": "Bolivar",
"state": "TN",
"country_code": "US",
"postal_code": "380081599",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.