DR. VICKI LYNN PARKS DNP ARNP-BC NPI 1497743223

NPI Information

NPI: 1497743223
Provider Name: DR. VICKI LYNN PARKS, DNP, ARNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
10440 US 1 N UNIT 101
ST AUGUSTINE, FL
ZIP 32095
Phone: (904) 715-4600
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DR. Vicki Lynn Parks, DNP, ARNP-BC is a family nurse practitioner in St Augustine, FL. DR. Vicki Lynn Parks, DNP, ARNP-BC NPI is 1497743223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10440 US 1 N UNIT 101
ST AUGUSTINE, FL
ZIP 32095-459
Phone: (904) 715-4600
Fax: (904) 342-7922

The NPI 1497743223 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 9/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	ARNP 1524462	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP 1524462	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	306333000	MEDICAID	FLORIDA
2	P00273346	MEDICARE PIN	FLORIDA
3	Y0422Q	MEDICARE PIN	FLORIDA
4	P44422	MEDICARE UPIN	FLORIDA
5	Y0422W	MEDICARE PIN	FLORIDA
6	P01492924	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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