NATHAN PARK BA
NPI 1528779741
Case Manager/Care Coordinator in Fairmont, WV

Q: What is Nathan Park's NPI number?

The NPI number for Nathan Park is 1528779741. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Q: What is Nathan Park's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Park was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 08, 2022

14 E GRAFTON RD STE C, FAIRMONT, WV 26554(304) 366-5832 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2025, Dec 8, 2022 (2 updates tracked since 2022).

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About Nathan Park Ba NPPES

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

NATHAN PARK BA (NPI 1528779741) is an individual case manager/care coordinator provider in Fairmont, West Virginia and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1528779741

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameNATHAN PARKCredential: BA

Location Address14 E GRAFTON RD STE CFairmont, WV 26554-4465

Mailing Address14 E Grafton Rd Ste CFairmont, WV 26554-4465 · (304) 366-5832

Phone(304) 366-5832

Sole ProprietorNo

Enumeration DateDecember 8, 2022

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1528779741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

14 E GRAFTON RD STE C, Fairmont, WV 26554

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATLYN DOLLY BSW

Case Manager/Care Coordinator