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

Taylor Parks

Individual provider Physician Assistant · NPI 1689275455

Taylor Parks is a Physician Assistant in Warwick, Rhode Island. Qualified in 2020, 6 years ago. Practices with Vantage Healthcare LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
6
Licensed in
MA, RI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

17 Airport Rd
Warwick, RI 02889-1001
Phone: (401) 606-2520
Fax: (401) 384-7190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01666 (RI)
Physician Assistant Taxonomy 363A00000X · Licence PA7731 (MA)

Record details

NPI number1689275455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 6, 2020
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vantage Healthcare Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Warwick