TEGAN KASSITY PARKS DO
NPI 1174210447
Student in an Organized Health Care Education/Training Program in Charleston, WV

Q: What is Tegan Parks's NPI number?

The NPI number for Tegan Parks is 1174210447. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Q: What is Tegan Parks's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tegan Parks was last updated on April 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 18, 2023PECOS Enrolled

800 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 388-2427 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tegan Kassity Parks Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEGAN KASSITY PARKS DO (NPI 1174210447) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174210447

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTEGAN KASSITY PARKSCredential: DO

Location Address800 PENNSYLVANIA AVECharleston, WV 25302-3351

Mailing Address800 Pennsylvania AveCharleston, WV 25302-3351

Phone(304) 388-2427

Sole ProprietorNo

Enumeration DateApril 18, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1174210447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

800 PENNSYLVANIA AVE, Charleston, WV 25302

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tegan Kassity Parks Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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