DR. VALERIE BENEDICTA IDADA-PARKER DNP PMHNP-BC FNP NPI 1770736092

NPI Information

  • NPI: 1770736092
  • Provider Name: DR. VALERIE BENEDICTA IDADA-PARKER, DNP, PMHNP-BC, FNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4819 EMPEROR BLVD # 423
    DURHAM, NC
    ZIP 27703
  • Phone: (919) 308-2339

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NPI Details

DR. Valerie Benedicta Idada-parker, DNP, PMHNP-BC, FNP is a psychiatric/mental health nurse practitioner in Durham, NC with 28 years of experience. DR. Valerie Benedicta Idada-parker, DNP, PMHNP-BC, FNP NPI is 1770736092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

4819 EMPEROR BLVD # 423
DURHAM, NC
ZIP 27703-089
Phone: (919) 308-2339

The NPI 1770736092 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 10/30/2008 and was last updated on 11/19/2024.

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
1363LP2300XNurse PractitionerPrimary Care201294NORTH CAROLINANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health201294NORTH CAROLINAYes
3363LF0000XNurse PractitionerFamily201294NORTH CAROLINANo
4363L00000XNurse Practitioner201294NORTH CAROLINANo

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 Other Provider Identifier Issuer
17000572MEDICAIDNORTH CAROLINA

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: 3/30/2025

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