Active NPI
Tamaryn Parks Tribolet, PA-C
- Physician Assistant
- Virginia Beach, VA
National Provider Identifier
1558765040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006015
- Practice address
- 293 Independence Blvd
Pembroke 5, Suite 330
Virginia Beach, VA 23462 - Phone
- (757) 222-3100
- NPI assigned
- Oct 13, 2014
- Last updated
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09469 | TX | |
| Physician Assistant | 363A00000X | 0110006015 | VA | Primary |
Addresses
Primary practice location
293 Independence Blvd
Pembroke 5, Suite 330
Virginia Beach, VA 23462
Mailing address
293 Independence Blvd
Pembroke 5, Suite 330
Virginia Beach, VA 23462
Phone (757) 222-3100
Other practice location 1
5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Phone (757) 502-8583
Other practice location 2
613 Elizabeth St
Suite 804
Corpus Christi, TX 78404-2220
Phone (361) 881-3351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VVR782A | Other | VA | MEDICARE PIN |
Other names 1
- Tamaryn Parks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
293 Independence Blvd
Virginia Beach, VA 23462-5466
Phone (757) 222-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Cities Orthopedics & Sports Medicine | Current | Accepting new patients | |
| Camino Real Emergency Physicians PLLC | Physician Assistant | Past | Accepting new patients |
Locations
400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461
Organizations & group practices 4
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.
-
dba Procare Wellness Institute of Virginia Beach
- Physical Medicine & Rehabilitation Physician
- Virginia Beach, VA
- NPI 1760174825
-
- Orthopaedic Surgery Physician
- Manhattan Beach, CA
- NPI 1750539672
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Torrance, CA
- NPI 1104247139
-
- Emergency Medicine Physician
- Livingston, TX
- NPI 1992871966
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1558765040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 INDEPENDENCE BLVD",
"address_2": "PEMBROKE 5, SUITE 330",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-222-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 INDEPENDENCE BLVD",
"address_2": "PEMBROKE 5, SUITE 330",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-222-3100"
}
],
"practiceLocations": [
{
"address_1": "5716 Cleveland St Ste 200",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234621784",
"country_code": "US",
"telephone_number": "757-502-8583",
"fax_number": "757-226-9044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "613 Elizabeth St",
"address_2": "SUITE 804",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784042220",
"country_code": "US",
"telephone_number": "361-881-3351",
"fax_number": "361-861-9022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIBOLET",
"first_name": "TAMARYN",
"middle_name": "PARKS",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2025-03-24",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09469",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "VVR782A",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARYN",
"last_name": "PARKS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.