Individual provider Active NPI

Joanne Patrice Parks, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1780198820
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN231761 Issued in GA
Practice address
3110 Henderson Walk
Atlanta, GA 30340-4329
Phone
(770) 828-9340
NPI assigned
Nov 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN231761 GA Primary

Addresses

Primary practice location

3110 Henderson Walk
Atlanta, GA 30340-4329

Mailing address

3110 Henderson Walk
Atlanta, GA 30340-4329
Phone (770) 828-9340

Other practice location 1

2900 Chamblee Tucker Rd Bldg 16
Atlanta, GA 30341-4148
Phone (770) 939-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN231761GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish Atl, LLC Psychiatric/Mental Health Current Accepting new patients
Theoria Medical Past Accepting new patients
Veritas Collaborative Atlanta, LLC Dba the Emily Program Past Accepting new patients
Veritas Collaborative Georgia, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780198820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 HENDERSON WALK",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404329",
            "telephone_number": "770-828-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 HENDERSON WALK",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404329",
            "telephone_number": "770-828-9340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Chamblee Tucker Rd Bldg 16",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303414148",
            "country_code": "US",
            "telephone_number": "770-939-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JOANNE",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN231761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.