SUN A CHUNG (NPI# 1174915805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174915805 |
| Entity Type | Individual |
| Full Name | SUN A CHUNG |
| Credential | FNP |
| Practice Address |
1650 S Beach St Fort Worth TX 76105 |
| Mailing Address |
1412 May St Fort Worth TX 76104-7639 |
| Practice Telephone | 8177021100 |
| Practice Fax Number | 8177026124 |
| Mailing Telephone | 8177022450 |
| Mailing Fax Number | 8177028445 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP127646 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487213468 | Sun Joo Chung | Nurse Practitioner | 18321 Clark St, Tarzana, CA 91356-3501 | 2019-06-12 |
| 1457613465 | Sun Chung | Pharmacist | 1634 E Highland Ave, San Bernardino, CA 92404-4616 | 2012-06-14 |
| 1144260308 | Sun M Chung | Specialist | 506 6th St, Brooklyn, NY 11215-3609 | 2006-06-07 |
| Street Address |
1650 S BEACH ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700811163 | Dara Grieger | Preventive Medicine | 1650 S Beach St, Fort Worth, TX 76105-2209 | 2006-07-12 |
| 1154960680 | Issis S Aleman | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105-2209 | 2020-01-01 |
| 1174041578 | Destonee Wilson | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105 | 2017-09-06 |
| 1306387592 | Felicia Denette Williams | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105-2209 | 2017-03-20 |
| 1184019929 | Sheelarani Joseph | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-30 |
| 1942690284 | Josephine N Ndungu | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105-2209 | 2015-01-26 |
| 1518370451 | Dolly Kay Barter | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105-2209 | 2014-06-09 |
| 1235364530 | Rose M Julian | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105-2209 | 2009-05-16 |
| 1902090525 | Ashley Lynne Schwartz | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105-2209 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1609363100 | Courtney Mae Gramley | Specialist/Technologist | 1201 Wesleyan St., Fort Worth, TX 76105 | 2018-04-19 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1548584998 | Access Dental of Berry, P.a. | Dentist | 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 | 2010-03-15 |
| 1811211261 | Access Dental of Rosedale P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-03-15 |
| 1396345799 | Danielle Hampton | Pharmacist | Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 | 2020-10-27 |
| 1053661207 | Ji Yoon Kim | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2012-09-14 |
| 1619297736 | Access Orthodontics of Rosedale, P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-06-11 |
| Find all providers in zip 76105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556341 | Sarah R Tabor | Nurse Practitioner | 4819 El Campo Ave, Fort Worth, TX 76107-4917 | 2020-10-21 |
| 1336747963 | Thomas Liles | Nurse Practitioner | 4 Carlson Ct, Fort Worth, TX 76119-5901 | 2020-10-15 |
| 1518565597 | Khyatiben Harsh Parikh | Nurse Practitioner | 8121 Belgian Blue Ct, Fort Worth, TX 76131-1734 | 2020-10-13 |
| 1225645906 | Manju Karki K C | Nurse Practitioner | 4812 Meadow Falls Dr # A, Fort Worth, TX 76244-2308 | 2020-09-28 |
| 1497361778 | Mulikat Dossou | Nurse Practitioner | 8024 Valley Crest Dr, Fort Worth, TX 76120-5651 | 2020-09-22 |
| 1275148793 | Bianca Adrianna Agnello | Nurse Practitioner | 8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676 | 2020-09-11 |
| 1356955363 | Alba C. Rivas | Nurse Practitioner | 6958 Legato Ln, Fort Worth, TX 76134-3727 | 2020-09-07 |
| 1043824139 | Traci D Huff | Nurse Practitioner | 7121 Sundance Ln, Fort Worth, TX 76179-2533 | 2020-09-04 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1619589108 | Megan King | Nurse Practitioner | 9734 N Beach St Ste 100, Fort Worth, TX 76244-6185 | 2020-08-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76105 |
Please comment or provide details below to improve the information on SUN A CHUNG.
| 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.