Tammy Park, DNP, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

262285 Issued in AZ

Practice address

3370 S Mercy Rd Ste 314
Gilbert, AZ 85297-0417

Phone

(490) 782-0993

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1679357610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 S MERCY RD STE 314",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970417",
            "telephone_number": "480-782-0993",
            "fax_number": "833-337-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 S MERCY RD STE 314",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970417",
            "telephone_number": "490-782-0993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22711 S Ellsworth Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851426789",
            "country_code": "US",
            "telephone_number": "480-782-0993",
            "fax_number": "833-337-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "TAMMY",
        "credential": "DNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "AZ",
            "license": "262285",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "262285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Parisek
• Park Grove LLC
• Heesun Stephanie Park
• Patricia Kay Park, FNP, DNP
• Soyoung Park, MD
• Carlyn A Parker, MS
• Ian Parker, D.O.
• Jennifer Renee Parker
• Kieran Parker
• Lucy Laurie Parker

• Advanced Practice Midwife in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Advanced Practice Midwife in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.