Individual provider Active NPI

Melanie D Parks, DNP, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Christiansburg, VA
National Provider Identifier
1538138342
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024165998 Issued in VA
Practice address
55 Copper Beach CT
Christiansburg, VA 24073-4155
Phone
(540) 241-3572
Fax
(540) 381-2441
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 0001140002 VA
Family Nurse Practitioner 363LF0000X 0024165998 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024165998 VA Primary

Addresses

Primary practice location

55 Copper Beach CT
Christiansburg, VA 24073-4155

Mailing address

55 Copper Beach CT
Christiansburg, VA 24073-4155
Phone (540) 241-3572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040515000473 VA Practitioner - Nurse Practitioner 9830189364 Reassigns benefits to 2 organizations
I20170208000962 OR Practitioner - Nurse Practitioner 9830189364 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001140002VAMDPsychiatric/Mental Health Registered Nurse
0024165998VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Regional Community Services Board CurrentSince Oct 9, 2020 Accepting new patients
Deschutes County Oregon Current Accepting new patients
Deschutes County Oregon CurrentSince Dec 25, 2016 Accepting new patients
Deschutes County Oregon CurrentSince Dec 25, 2016 Accepting new patients
Harrisonburg-Rockingham Community Services Board CurrentSince Sep 1, 2019 Accepting new patients
Comprehensive Health Systems,PLC Psychiatric/Mental Health PastSince Jun 1, 2020 Accepting new patients
Informed Care Solutions, Inc Family Past Accepting new patients
Informed Care Solution, Inc Past Accepting new patients
Tandem Telehealth Medical Group PLLC Past Accepting new patients

Locations

2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400

1241 N Main St
Harrisonburg, VA 22802
Phone (540) 434-1941

24 Clay St
Martinsville, VA 24112
Phone (276) 632-7128

22280 Jeb Stuart Hwy
Stuart, VA 24171
Phone (276) 632-7128

Interoperability endpoints

  • Direct secure messaging: mparks16162@direct.carilionclinic.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1538138342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COPPER BEACH CT",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734155",
            "telephone_number": "540-241-3572",
            "fax_number": "540-381-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COPPER BEACH CT",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734155",
            "telephone_number": "540-241-3572",
            "fax_number": "540-381-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "MELANIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP,  PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001140002",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165998",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024165998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.