JINA PARK (NPI# 1306386354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306386354 |
| Entity Type | Individual |
| Full Name | JINA PARK |
| Credential | AGPCNP-C |
| Practice Address |
1601 N Belt Line Rd Ste B Mesquite TX 75149-1791 |
| Practice Telephone | 9723293500 |
| Mailing Telephone | 9723293500 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 810471 | TX | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP132571 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 Veronica Dr, Flower Mound, TX 750220977 | 5206095058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487003505 | Jina Park | Psychiatry & Neurology | 462 1st Ave Fl 7, New York, NY 10016-9196 | 2016-06-09 |
| 1508335209 | Jina Park | Licensed Practical Nurse | 9040 Jackson Ave, Attn: Achj-clq-c, Tacoma, WA 98433 | 2018-11-26 |
| 1942776133 | Jina Park | Social Worker | 247 Prospect Ave Ste 4, Brooklyn, NY 11215-8403 | 2018-10-16 |
| 1093179517 | Jina Park | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2016-04-11 |
| Street Address |
1601 N BELT LINE RD STE B |
| City | MESQUITE |
| State | TX |
| Zip Code | 75149-1791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376640904 | Sohail Parekh | Internal Medicine | 1601 N Belt Line Rd Ste B, Mesquite, TX 75149-1722 | 2006-09-17 |
| 1316125743 | Mohamed A Ibrahim | Surgery | 1601 N Belt Line Rd Ste B, Mesquite, TX 75149-1791 | 2008-02-07 |
| 1013119486 | Sohail Parekh Internal Medicine & Geriatric Care Pa | Internal Medicine | 1601 N Belt Line Rd Ste B, Mesquite, TX 75149-1722 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340642 | Michael Ryan Tong | Pharmacist | 300 West Kearney, Mesquite, TX 75149 | 2019-08-08 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1356844484 | D&b Dentistry, Pllc | Clinic/Center | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
| 1811426216 | Higher Ground Services LLC | In Home Supportive Care | 624 Yosemite Trail, Mesquite, TX 75149 | 2017-06-08 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
| 1811432115 | Fastpass Ucm, Pllc | Emergency Medicine | 1080 E Cartwright Rd, Suite 120, Mesquite, TX 75149 | 2016-12-22 |
| 1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
| Find all providers in zip 75149 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750831061 | Sacha Edwards | Nurse Practitioner | 4532 Interstate 30, Mesquite, TX 75150-2028 | 2016-10-11 |
| 1699118737 | Jeanette Dillow | Nurse Practitioner | 2540 N Galloway Ave Ste 103, Mesquite, TX 75150-4897 | 2013-04-08 |
| 1053616268 | Catherine N. Ebune | Nurse Practitioner | 3149 I-30, Suite A, Mesquite, TX 75150-2790 | 2011-01-19 |
| 1215325394 | Pheba Daniel | Nurse Practitioner | 901 N Galloway Ave, Ste 107, Mesquite, TX 75149-2493 | 2014-12-25 |
| 1861802951 | Sherrie Beyer | Nurse Practitioner | 901 N Galloway Ave, Suite 107, Mesquite, TX 75149-2493 | 2014-04-29 |
| 1124384078 | Sandhya Susan Philip | Nurse Practitioner | 3865 Childress Ave, Suita A, Mesquite, TX 75150-2802 | 2012-04-04 |
| 1912217167 | Shonna Larell Harris | Nurse Practitioner | 1575 I 30, Mesquite, TX 75150-6905 | 2010-10-20 |
| 1992955041 | Kelly S Barber Walker | Nurse Practitioner | 960 Highway 352, Mesquite, TX 75149-6892 | 2008-09-25 |
| 1225236862 | Catherine King | Nurse Practitioner | 1301 Bertha Howe Ave, Ste 1, Mesquite, NV 89027-7503 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
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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.