Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Decker Parks

Individual provider Family Nurse Practitioner · NPI 1629236302

Katherine Decker Parks is a Nurse Practitioner in Rochester, New York. Graduated from State University of Ny Upstate Medical University in 2007, 19 years ago. Practices with Blue Valley Dermatology LLC, a 12-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

500 Helendale Rd Ste 100
Rochester, NY 14609-3173
Phone: (585) 266-5420
Fax: (585) 266-5423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 335297 (NY)

Record details

NPI number1629236302
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2008
Last updated in NPPESDecember 23, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice Blue Valley Dermatology Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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