Igata and Parke PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IGATA AND PARKE PLC

Practice address

14805 Forest Rd Ste 229
Forest, VA 24551-5019

Phone

(540) 986-5480

NPI assigned

Jan 31, 2024

Last updated

Apr 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Raven Parke, PA-CNPI 1114545928

Title

Co-Founder

Phone

(540) 986-5480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raven Parke, PA-C

  • Medical Physician Assistant
  • Forest, VA
  • NPI 1114545928
  Medicare reassignment Care Compare group Authorized official
• Amanda Igata, FNP

  • Family Nurse Practitioner
  • South Boston, VA
  • NPI 1063844926
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1619730835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 FOREST RD STE 229",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245515019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 FOREST RD STE 229",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245515019",
            "telephone_number": "540-986-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGATA AND PARKE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "PARKE",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "540-986-5480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Houck
• Grace Hudson
• Melissa Hudson, CPNP-PC
• Amanda Kathleen Hundley, R.D.H.
• Lisa Huschke
• Imads Healthcare LLC
• Impact Autism Services
• Impact Living Services
• Indwell Health and Wellness.LLC (Allergy and Asthma of Virginia)
• Beth Anne Jamerson, OTR/L

• Family Medicine Physician in Forest, VA
• Providers in Forest, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.