Katrina Bolt Parks, MSN, NP-C
Individual provider Active NPI Family Nurse Practitioner · Galax, VA
NPI 1558026955 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1558026955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024183299 (VA)
- Practice address
- 227 Hospital Dr
Galax, VA 24333-2228 - Phone
- (276) 236-2909
- Fax
- (276) 236-8845
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Ridge Physicians for Women Inc
Practice addresses (Care Compare)
227 Hospital Dr
Galax, VA 24333-2228
Phone (276) 236-2909
Hospital & facility affiliations
- Twin County Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220114000357 | VA | Practitioner - Nurse Practitioner | 8325430796 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024183299 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Physicians for Women, Inc | Current |
Accepting new patients | |
| First Choice Health Care LLC | Current |
Accepting new patients |
Locations
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
227 Hospital Dr
Galax, VA 24333
Phone (276) 236-2909
812 W Stuart Dr
Galax, VA 24333
Phone (276) 238-3318
1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024183299 | VA | Yes |
Addresses
Primary practice location
227 Hospital Dr
Galax, VA 24333-2228
Mailing address
227 Hospital Dr
Galax, VA 24333-2228
Phone (276) 236-2909
Other providers in Galax, VA
- Treva M. Osborne
- Woodrow Edward Pack Jr.
- Zachary Lee Page
- Michael Roy Painter
- Byron Clifton Palmer
- Shadagopan Saragur Parthasarathy
- Pathology Associates of Southwestern Virginia Inc
- Tracy Ann Patton
- Paul C. Liebrecht, M.D., P.C.
- Peace of Mind Counseling Service
All providers in Galax, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.