Tabitha Jean Parks, APRN-CNP Pediatrics
Nurse Practitioner, Pediatrics in Stigler, OK. Individual provider (NPI-1).
NPI number1962055707
StatusActive
Last updated in NPPESJul 22, 2019
Details
- NPI
- 1962055707
- Entity type
- Individual (NPI-1)
- Name
- Tabitha Jean Parks
- Credential
- APRN-CNP Pediatrics
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2019
- Last updated
- Jul 22, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 115890 | OK | Yes |
Practice location
1505 E Main StStigler, OK 74462-2913
Phone 918-967-3368 · Fax 918-967-3351
Mailing address
Po Box 179Stigler, OK 74462-0179
Phone 918-967-3368 · Fax 918-967-4582
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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