EUNMI PARK (NPI# 1376189118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376189118 |
| Entity Type | Individual |
| Full Name | EUNMI PARK |
| Practice Address |
211 J.b. Wise Plaza Watertown NY 13601 |
| Mailing Address |
Po Box 6550 Watertown NY 13601-6550 |
| Practice Telephone | 3157827445 |
| Practice Fax Number | 3157791184 |
| Mailing Telephone | 3157887430 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P103873-01 | Behavioral Health & Social Service Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 167 Polk St Ste 300, Watertown, NY 136012770 | 3157779713 |
| Street Address |
211 J.B. WISE PLAZA |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831441344 | Linda Macqueen | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2012-10-08 |
| 1114534096 | Taylor Freeman | Licensed Practical Nurse | 211 J.b. Wise Plaza, Watertown, NY 13601-1360 | 2020-09-25 |
| 1992316657 | Michele Kolb | Student in an Organized Health Care Education/Training Program | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-08-14 |
| 1518578368 | Brieanna Lewis | Student in an Organized Health Care Education/Training Program | 211 J.b. Wise Plaza, Watertown, NY 13601-1360 | 2020-08-14 |
| 1982225256 | Chika Francess Egorho | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-04-28 |
| 1831720143 | Kristen Eberly | Social Worker | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-01-27 |
| 1205495934 | Lisa M Augustus | Counselor | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2019-06-06 |
| 1417515552 | Kourtney K Darrow | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2019-06-04 |
| 1376022707 | Angela Rotella | Licensed Practical Nurse | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2018-08-07 |
| 1760960447 | Jessica Lynn Goutremout | Social Worker | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2018-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725023 | Jade Kirsten Sorensen | Counselor | 210 S Rutland St, Watertown, NY 13601-3437 | 2020-09-16 |
| 1467061184 | Emma Rockwood | Counselor | 531 Washington St Ste 4124, Watertown, NY 13601-4037 | 2020-07-28 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1134755440 | Patricia A Jonas | Counselor | 801 Jenson Ave Se, Watertown, SD 57201-5227 | 2020-03-18 |
| 1497389068 | Randi Hartman | Counselor | 818 S Broadway, Watertown, SD 57201-4861 | 2020-02-23 |
| 1316589484 | Aspen Counseling Services, Pllc | Counselor | 1019 6th Ave Se, Watertown, SD 57201-6603 | 2019-10-10 |
| 1285283911 | Stephanie Mae Wensink | Counselor | 3 Repton Cir Unit 3306, Watertown, MA 02472-2444 | 2019-09-05 |
| 1275095853 | Katherine Richey | Counselor | 118 Main St Ste 1b, Watertown, MA 02472-4425 | 2019-04-03 |
| 1790254654 | Kelsey Leigh Naklick | Counselor | 22670 Summit Dr Ste 2, Watertown, NY 13601-7208 | 2018-11-20 |
| 1336618396 | Better Me Counseling and Consulting | Counselor | 818 S Broadway Ste 113, Watertown, SD 57201-4800 | 2018-11-20 |
| Find all providers in WATERTOWN | ||||
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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.