KRISTIN A PARK DNP NPI 1558763516

NPI Information

NPI: 1558763516
Provider Name: KRISTIN A PARK, DNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
17700 SE 272ND ST # 400
COVINGTON, WA
ZIP 98042
Phone: (253) 372-6512
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Kristin A Park, DNP is a pediatrics nurse practitioner in Covington, WA. Kristin A Park, DNP NPI is 1558763516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17700 SE 272ND ST # 400
COVINGTON, WA
ZIP 98042-951
Phone: (253) 372-6512
Fax: (253) 372-6527

The NPI 1558763516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2014 and was last updated on 2/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	814227	NEVADA	No
2	363LF0000X	Nurse Practitioner	Family	AP60491879	WASHINGTON	No
3	363LP0200X	Nurse Practitioner	Pediatrics	AP60491879	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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