SARAH PARK (NPI# 1083082911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083082911 |
| Entity Type | Individual |
| Full Name | SARAH PARK |
| Practice Address |
11059 E Bethany Dr Aurora CO 80014-2622 |
| Practice Telephone | 3036172300 |
| Practice Fax Number | 3036172365 |
| Mailing Telephone | 3036172300 |
| Mailing Fax Number | 3036172365 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CO | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922510908 | Sarah Park | Pharmacist | 2252 Old River Rd, Ukiah, CA 95482-6103 | 2017-10-30 |
| 1760933899 | Sarah Park | Dental Assistant | 4557 11th Ave Ne Apt C238, Seattle, WA 98105-0002 | 2016-10-24 |
| 1063969921 | Sarah Joy Park | Psychologist | 11605 Cardelina Ln, Atascadero, CA 93422-6042 | 2016-09-07 |
| 1326432626 | Sarah Park | Student in an Organized Health Care Education/Training Program | 2706 N Vista Ct, Orange, CA 92867-1741 | 2015-03-25 |
| 1104227081 | Sarah Park | Student in an Organized Health Care Education/Training Program | 2732 Ashwood Cir, Fullerton, CA 92835-2800 | 2014-09-10 |
| 1215595129 | Sarah Elizabeth Park | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-06-05 |
| 1134689425 | Sarah Park | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave, New York, NY 10029-6508 | 2019-03-22 |
| 1174025621 | Sarah Park | Student in an Organized Health Care Education/Training Program | 4150 Clement St., San Francisco, CA 94121 | 2018-03-01 |
| 1588189591 | Sarah Elizabeth Park | Occupational Therapist | 1225 Sw State Route 7, Blue Springs, MO 64014-3539 | 2017-08-10 |
| 1902252620 | Sarah Anne Park | Nurse Practitioner | 610 Solarex Ct, Frederick, MD 21703-8624 | 2016-05-12 |
| Street Address |
11059 E BETHANY DR |
| City | AURORA |
| State | CO |
| Zip Code | 80014-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654463 | Marc Paul Goodman | Psychiatry & Neurology | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2005-07-29 |
| 1699311605 | Angelica Halbert | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-11-25 |
| 1639714231 | Sharon Elaine Bonds | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-11-07 |
| 1598308603 | Salia R Thomas | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-10-21 |
| 1467002022 | Ashley Martin | Student in an Organized Health Care Education/Training Program | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-09-16 |
| 1013561612 | Ashley Rose Dryer | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-07-31 |
| 1295389096 | Elizabeth Healy | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-07-30 |
| 1326692526 | Celia Pope | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-07-26 |
| 1710546841 | Ana Rosa Saucedo Lopez | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-06-12 |
| 1780240853 | Emily Carlson | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827827 | Jessica Paulette Flowers | Student in an Organized Health Care Education/Training Program | 23608 E Fremont Cir Unit 304, Aurora, CO 80016-2615 | 2020-09-25 |
| 1346859543 | Amandeep K Pentlia | Student in an Organized Health Care Education/Training Program | 13021 E 21st Ave, Aurora, CO 80045-7454 | 2020-07-24 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1902424062 | Janell Herrera | Student in an Organized Health Care Education/Training Program | 856 Columbia St, Aurora, IL 60505-2816 | 2020-07-06 |
| 1457978611 | David Immanuel Freeman Fountain | Student in an Organized Health Care Education/Training Program | 3697 S Cathay Cir, Aurora, CO 80013-3619 | 2020-07-02 |
| 1568087492 | Jimmy D Joseph | Student in an Organized Health Care Education/Training Program | 1290 Chambers Rd # 80011, Aurora, CO 80011-7117 | 2020-06-16 |
| 1013532811 | Jay Patrick Lewis | Student in an Organized Health Care Education/Training Program | 7009 S Netherland Way, Aurora, CO 80016-2347 | 2020-06-08 |
| 1649893546 | Megan Heman | Student in an Organized Health Care Education/Training Program | 23068 Lawrence 1200, Aurora, MO 65605-8252 | 2020-05-26 |
| 1689296915 | Rafael Martinez Perez | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave # 5001, Aurora, CO 80045-2527 | 2020-05-08 |
| 1790305704 | Evan Tkaczyk | Student in an Organized Health Care Education/Training Program | 3461 Saint Barthelemy Ln, Aurora, IL 60504-3120 | 2020-04-20 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.