Individual provider Active NPI

Maureen Parkes, ARNP

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1447894415
Registry record updated Nov 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004901 Issued in FL
Practice address
1656 Grantham Dr
Wellington, FL 33414-8959
Phone
(954) 850-9534
NPI assigned
Nov 3, 2019
Last updated
Nov 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11004901 FL Primary

Addresses

Primary practice location

1656 Grantham Dr
Wellington, FL 33414-8959

Mailing address

1656 Grantham Dr
Wellington, FL 33414-8959
Phone (954) 850-9534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001001174 FL Practitioner - Nurse Practitioner 7911438056 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004901FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goldmark Healthcare Services LLC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients

Locations

8255 W Sunrise Blvd
Plantation, FL 33322
Phone (954) 242-7747

Organizations & group practices 1

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": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1447894415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 GRANTHAM DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148959",
            "telephone_number": "954-850-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 GRANTHAM DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148959",
            "telephone_number": "954-850-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKES",
        "first_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.