Individual provider Active NPI

Kathleen Blair Parks, CRNP

  • Nurse Practitioner
  • Foley, AL
National Provider Identifier
1457625097
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-103337 Issued in AL
Practice address
1613 N McKenzie St
Foley, AL 36535-2247
Phone
(251) 949-3711
Fax
(251) 949-3715
NPI assigned
Feb 29, 2012
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-103337 AL Primary

Addresses

Primary practice location

1613 N McKenzie St
Foley, AL 36535-2247

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (251) 949-3711

Other practice location 1

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7390

Other practice location 2

1711 N McKenzie St Ste 102
Foley, AL 36535-2282
Phone (251) 952-6653

Other identifiers 3

IdentifierTypeStateIssuer
03982800MedicaidMS
243124MedicaidAL
146917MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathleen.parks.2@1599.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000350 AL Practitioner - Nurse Practitioner 1658532015 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foley Clinic Corp.Group PAC ID 5193741759, 86 clinicians
Coastal Family Medicine, LLCGroup PAC ID 3375949035, 3 clinicians

Practice addresses (Care Compare)

1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3400

1625 N Alston St
Foley, AL 36535-2208
Phone (251) 213-4004

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Medicine LLC CurrentSince Oct 1, 2024 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Mar 28, 2018 Accepting new patients
Mid-South Home Care Services, LLC Current Accepting new patients
National Family Medical Associates, LLC CurrentSince Dec 10, 2022 Accepting new patients
National Family Medical Associates of Alabama, LLC CurrentSince Nov 1, 2023 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Mar 28, 2018 Accepting new patients
Bay Area Inpatient Physicians LLC Past Accepting new patients

Locations

1304 13th Ave SE
Decatur, AL 35601
Phone (256) 355-9711

2431 W Main St
Ste 1102
Dothan, AL 36301
Phone (334) 699-5780

341 Greeno Rd N
#B
Fairhope, AL 36532
Phone (251) 444-1999

1625 N Alston St
Foley, AL 36535
Phone (251) 215-4004

3942 Government Blvd
Mobile, AL 36693
Phone (251) 460-1103

2800 Dauphin St
Ste 103
Mobile, AL 36606
Phone (251) 478-2789

30762 State Highway 181
Spanish Fort, AL 36527
Phone (251) 444-1999

5111 N 12th Ave
Ste B
Pensacola, FL 32504
Phone (850) 316-4882

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21375/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kparks73916@directinfirmaryhealth.org
  • Direct secure messaging: kathleen.parks.1@21375.direct.athenahealth.com
  • Direct secure messaging: kathleen.parks.2@1599.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1457625097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "251-949-3711",
            "fax_number": "251-949-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352247",
            "telephone_number": "251-949-3711",
            "fax_number": "251-949-3715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 689022",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370689022",
            "country_code": "US",
            "telephone_number": "615-465-7390",
            "fax_number": "615-628-6877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1711 N McKenzie St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365352282",
            "country_code": "US",
            "telephone_number": "251-952-6653",
            "fax_number": "251-952-6651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "KATHLEEN",
        "middle_name": "BLAIR",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-103337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03982800",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243124",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146917",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.parks.2@1599.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1711 N McKenzie St Ste 102",
            "city": "Foley",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365352282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.