Individual provider Active NPI

Valerie Benedicta Idada-Parker, DNP, PMHNP-BC, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1770736092
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201294 Issued in NC
Practice address
4819 Emperor Blvd # 423
Durham, NC 27703-0089
Phone
(919) 308-2339
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 201294 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201294 NC Primary
Family Nurse Practitioner 363LF0000X 201294 NC
Nurse Practitioner 363L00000X 201294 NC

Addresses

Primary practice location

4819 Emperor Blvd # 423
Durham, NC 27703-0089

Mailing address

4819 Emperor Blvd Ste 423
Durham, NC 27703-0089
Phone (919) 308-2339

Other practice location 1

2634 Durham Chapel Hill Blvd Ste 204
Durham, NC 27707-2877
Phone (919) 308-2339

Other identifiers 1

IdentifierTypeStateIssuer
7000572MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101202000407 NC Practitioner - Nurse Practitioner 8527254580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2634 Durham Chapel Hill Blvd
Suite 204
Durham, NC 27707-2877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
201294NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Health Services Inc. Nurse Practitioner CurrentSince Mar 25, 2015 Accepting new patients
Reliable Clinic & Psychological Services Past Accepting new patients

Locations

2634 Durham Chapel Hill Blvd
Ste 204
Durham, NC 27707
Phone (919) 308-2339

1020 S Miami Blvd
Ste 107
Durham, NC 27703
Phone (919) 596-9479

4819 Emperor Blvd
Ste 423
Durham, NC 27703
Phone (919) 596-9479

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1770736092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 EMPEROR BLVD STE 423",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030089",
            "telephone_number": "919-308-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 EMPEROR BLVD # 423",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030089",
            "telephone_number": "919-308-2339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2634 Durham Chapel Hill Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072877",
            "country_code": "US",
            "telephone_number": "919-308-2339",
            "fax_number": "919-957-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDADA-PARKER",
        "first_name": "VALERIE",
        "middle_name": "BENEDICTA",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "201294",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "201294",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201294",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000572",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.