THERESA PARK (NPI# 1255598447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255598447 |
| Entity Type | Individual |
| Full Name | THERESA PARK |
| Credential | RN, NP |
| Practice Address |
415 E Chapel St Santa Maria CA 93454-4517 |
| Mailing Address |
315 Castaic Ave Shell Beach CA 93449-1912 |
| Practice Telephone | 8059285573 |
| Mailing Telephone | 8052956128 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
17824 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245368430 | Theresa A Park | Optometrist | 3030 Gateway Street, Sears Optical, Springfield, OR 97477-1027 | 2007-03-01 |
| 1003983867 | Theresa T Park | Nurse Anesthetist, Certified Registered | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
| Street Address |
415 E CHAPEL ST |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598779613 | Denise Desmond | Nurse Practitioner | 415 E Chapel St, Santa Maria, CA 93454-4517 | 2006-07-27 |
| 1922620657 | Bethania Gonzalez | Nurse Practitioner | 415 E Chapel St, Santa Maria, CA 93454-4517 | 2020-05-15 |
| 1053422360 | Sandra Mary Loehner | Nurse Practitioner | 415 E Chapel St, Santa Maria, CA 93454-4517 | 2006-08-31 |
| 1275547283 | Margaret Doyle | Registered Nurse | 415 E Chapel St, Santa Maria, CA 93454-4517 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 364SC1501X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Community Health/Public Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335181 | Zinnia Community Care Clinic | Clinical Nurse Specialist | 2917 W Vernon Ave, Los Angeles, CA 90008-4714 | 2019-03-14 |
| 1467794453 | Katie Greene | Clinical Nurse Specialist | 2751 Tropicana Dr, Riverside, CA 92504-4277 | 2013-03-18 |
| 1780978379 | Andre Mitch Michaud | Clinical Nurse Specialist | 4215 26th St, San Francisco, CA 94131-1836 | 2011-06-01 |
| 1245467380 | Alice Y Wong | Clinical Nurse Specialist | 1171 Mission St, Medical Respite Program, San Francisco, CA 94103-1519 | 2009-06-16 |
| 1043344450 | Valerie Lee Bellnap | Clinical Nurse Specialist | 561 Canal St, Placerville, CA 95667-4312 | 2007-03-15 |
| 1871620369 | Patricia Jane Murphy | Clinical Nurse Specialist | 1360 Johnson Blvd Ste 103, S Lake Tahoe, CA 96150-8201 | 2007-02-28 |
| 1538296330 | Linda D Cromwell | Clinical Nurse Specialist | 981 Silver Dollar Ave, Suite 1, South Lake Tahoe, CA 96150-7761 | 2007-02-27 |
| 1477697985 | Cindy Slotterback Gaffney | Clinical Nurse Specialist | 950 Sevier Rd, Cool, CA 95614-9439 | 2007-02-16 |
| 1508908575 | Kathleen Robertson | Clinical Nurse Specialist | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-02-13 |
| 1316088149 | Phyllis Jean Goldie | Clinical Nurse Specialist | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on THERESA PARK.
| 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.