MRS. JISUN PARK (NPI# 1114270162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114270162 |
| Entity Type | Individual |
| Full Name | MRS. JISUN PARK |
| Practice Address |
816 Ne 190th St Shoreline WA 98155-2249 |
| Mailing Address |
Po Box 55399 Shoreline WA 98155-0399 |
| Practice Telephone | 2063643777 |
| Mailing Telephone | 2063643777 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | LL60299415 | WA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097572 | Jisun Park | Dietitian, Registered | 747 Broadway, Seattle, WA 98122-4379 | 2020-06-16 |
| 1386945459 | Jisun Park | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2010-11-05 |
| Street Address |
816 NE 190TH ST |
| City | SHORELINE |
| State | WA |
| Zip Code | 98155-2249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457591794 | Rachel C Lagrange | Occupational Therapist | 816 Ne 190th St, Shoreline, WA 98155-2249 | 2009-02-26 |
| 1265860084 | Monica Trouth | Speech-Language Pathologist | 816 Ne 190th St, Shoreline, WA 98155-2249 | 2013-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
| 1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
| 1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
| 1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
| 1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
| 1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
| 1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
| 1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
| 1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
| Find all providers in zip 98155 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389763 | Jacqueline Marie Brown | Speech-Language Pathologist | 1207 N 152nd St Ste A, Shoreline, WA 98133-6247 | 2019-10-29 |
| 1689227662 | Lindsey Cross | Speech-Language Pathologist | 3402 Nw 195th Pl, Shoreline, WA 98177 | 2019-07-19 |
| 1376932608 | Lana Van Boven | Speech-Language Pathologist | 14730 23rd Ave Ne, Shoreline, WA 98155-7307 | 2015-01-09 |
| 1306112040 | Blue Sky Pediatric Speech Therapy, Inc. | Speech-Language Pathologist | 14920 Westminster Way N Ste 1a, Shoreline, WA 98133-6445 | 2012-03-27 |
| 1427358159 | Dena Carly Goodman | Speech-Language Pathologist | 19303 Fremont Ave N # Ms 84, Shoreline, WA 98133-3800 | 2010-10-28 |
| 1093918765 | Kristi Jill Marion | Speech-Language Pathologist | 2402 Nw 195th Pl, Shoreline, WA 98177-2932 | 2007-06-08 |
| 1225246069 | Lisa J Vanhorne | Speech-Language Pathologist | 340 Nw 177th St, Shoreline, WA 98177-3515 | 2007-05-17 |
| 1336283282 | Jennifer Bonaro Vanderwerff | Speech-Language Pathologist | 222 Nw 200th St, Shoreline, WA 98177-2517 | 2007-02-16 |
| 1790835965 | Susan Christine Gruber | Speech-Language Pathologist | 14920 Westminster Way N, #1a, Shoreline, WA 98133-6445 | 2007-01-11 |
| 1477614782 | Jennifer Lynn Johns | Speech-Language Pathologist | 17535 15th Ave Ne, Shoreline, WA 98155-3801 | 2006-12-12 |
| Find all providers in SHORELINE | ||||
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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.