Individual provider Active NPI

Christy Renee Parks, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1790926798
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7269 Issued in TN
Practice address
1265 Union Ave
3 Crews
Memphis, TN 38104-3415
Phone
(901) 516-7237
Fax
(901) 516-7240
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A810299 MS
Family Nurse Practitioner 363LF0000X 7269 TN Primary

Addresses

Primary practice location

1265 Union Ave
3 Crews
Memphis, TN 38104-3415

Mailing address

P O Box 1000
Dept # 457
Memphis, TN 38104-0457

Other practice location 1

6027 Walnut Grove Rd Ste 206
Memphis, TN 38120-2127
Phone (901) 226-5151

Other identifiers 2

IdentifierTypeStateIssuer
3929263MedicaidTN
1790926798OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040625000180 TN Practitioner - Nurse Practitioner 4385620939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Memorial Hospital-TiptonGroup PAC ID 6709878614, 29 clinicians

Practice addresses (Care Compare)

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

6029 Walnut Grove Rd
Suite 301
Memphis, TN 38120-2112
Phone (901) 747-9087

Hospital & facility affiliations

  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
Quality
68.68
Promoting interoperability
100
Improvement activities
40
Cost
59.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7269TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital-Tipton CurrentSince Jan 24, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 24, 2022 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Jan 24, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 24, 2022 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2996 Kate Bond Rd
Ste 100
Bartlett, TN 38133
Phone (901) 383-5570

1500 W Poplar Ave
Ste 308
Collierville, TN 38017
Phone (901) 861-8550

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

1700 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 286-1115

6029 Walnut Grove Rd
Ste 301
Memphis, TN 38120
Phone (901) 747-9081

80 Humphreys Center Dr
Ste 330
Memphis, TN 38120
Phone (901) 752-6131

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

6029 Walnut Grove Rd
Ste 305
Memphis, TN 38120
Phone (901) 226-0533

6027 Walnut Grove Rd
Ste 206
Memphis, TN 38120
Phone (901) 226-5151

1109 E Reelfoot Ave
Ste F
Union City, TN 38261
Phone (731) 884-1412

Organizations & group practices 5

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.

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": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1790926798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1000",
            "address_2": "DEPT # 457",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381040457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "address_2": "3 CREWS",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-516-7237",
            "fax_number": "901-516-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6027 Walnut Grove Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202127",
            "country_code": "US",
            "telephone_number": "901-226-5151",
            "fax_number": "901-226-3746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CHRISTY",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "A810299",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3929263",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790926798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.