Individual provider Active NPI

Erin K Parks, ACNP-BC, FNP-BC

  • Family Nurse Practitioner
  • Farmington, MO
National Provider Identifier
1659648186
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015038474 Issued in MO
Practice address
1103 W Liberty St
Farmington, MO 63640-1921
Phone
(573) 756-6751
Fax
(573) 756-6807
NPI assigned
Nov 29, 2011
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2012018194 MO
Family Nurse Practitioner 363LF0000X 2015038474 MO Primary

Addresses

Primary practice location

1103 W Liberty St
Farmington, MO 63640-1921

Mailing address

1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751

Other practice location 1

611 W Main St
Fredericktown, MO 63645-1146
Phone (573) 756-1813

Other practice location 2

130 Westmount Dr
Farmington, MO 63640-2970
Phone (573) 756-1813

Other identifiers 1

IdentifierTypeStateIssuer
1659648186MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20130401000114 MO Practitioner - Nurse Practitioner 8527225200 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians
Heart and Vascular Associates LLCGroup PAC ID 7012208952, 6 clinicians
Potosi Emergency Group, LLCGroup PAC ID 0648588541, 19 clinicians

Practice addresses (Care Compare)

1101 W Liberty St
Parkland Health Center Farmington
Farmington, MO 63640-1921
Phone (573) 756-6451

130 Westmount Dr
Farmington, MO 63640-2970
Phone (573) 756-1813

300 Health Way Dr
Potosi, MO 63664-1420
Phone (573) 438-5451

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16341TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Physician Services LLC CurrentSince Jan 1, 2013 Accepting new patients
Southeastern Emergency Services of Memphis, P.C. CurrentSince Feb 16, 2016 Accepting new patients
SSM Health Care St Louis CurrentSince May 31, 2024 Accepting new patients
Heart and Vascular Associates LLC CurrentSince May 15, 2025 Accepting new patients
SSM Health Care St. Louis CurrentSince May 31, 2024 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC CurrentSince Aug 1, 2024 Accepting new patients
Potosi Emergency Group, LLC CurrentSince Jun 26, 2024 Accepting new patients
Serenity Hospicecare PastSince Aug 1, 2015 Accepting new patients
Centennial Heart LLC Acute Care Past Accepting new patients
Physician Groups LC Past Accepting new patients
Physician Groups LC Past Accepting new patients
Saint Thomas Cardiology Consultants, PC Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

1212 Weber Rd
Farmington, MO 63640
Phone (573) 756-3662

130 Westmount Dr
Farmington, MO 63640
Phone (573) 756-1813

540 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-1813

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1120 Shackelford Rd
Florissant, MO 63031
Phone (314) 830-5805

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDFFAD

Organizations & group practices 12

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 2

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": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1659648186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W LIBERTY ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401921",
            "telephone_number": "573-756-6751",
            "fax_number": "573-756-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W LIBERTY ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401921",
            "telephone_number": "573-756-6751",
            "fax_number": "573-756-6807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Main St",
            "address_purpose": "LOCATION",
            "city": "Fredericktown",
            "state": "MO",
            "postal_code": "636451146",
            "country_code": "US",
            "telephone_number": "573-756-1813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Westmount Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636402970",
            "country_code": "US",
            "telephone_number": "573-756-1813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ERIN",
        "middle_name": "K",
        "credential": "ACNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2012018194",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015038474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659648186",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1103 W Liberty St",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.