KATHERINE PARK (NPI# 1558861401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558861401 |
| Entity Type | Individual |
| Full Name | KATHERINE PARK |
| Credential | CNM |
| Practice Address |
210 Ark Rd Ste 216 Mount Laurel NJ 08054-3188 |
| Mailing Address |
3100 Woodhaven Dr Cinnaminson NJ 08077-4437 |
| Practice Telephone | 8567782060 |
| Practice Fax Number | 8567788182 |
| Mailing Telephone | 8569047082 |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | 25ME00063901 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367A00000X | Advanced Practice Midwife | 25ME00063900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Rev Dr Martin Luther King Jr Dr Ste B, Willingboro, NJ 080462852 | 6098712060 | 6098713535 |
| 8008 Route 130, Delran, NJ 080751869 | 8567640002 | 8567640103 |
| 45b Homestead Dr, Columbus, NJ 080221004 | 6093247424 | 6093247428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376886606 | Katherine Park | Psychiatry & Neurology | 3160 Folsom Blvd Ste 2100, Sacramento, CA 95816 | 2013-04-04 |
| 1912185786 | Katherine Hyunjoo Park | Pharmacist | 310 E 23rd St, New York, NY 10010-4702 | 2008-02-04 |
| 1639714561 | Katherine H Park | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1902465677 | Katherine Park | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2019-06-06 |
| 1932661055 | Katherine Park | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2019-04-06 |
| 1740778687 | Katherine Park | Case Manager/Care Coordinator | 520 S Lafayette Park Place 3rd Floor, Los Angeles, CA 90057 | 2018-04-26 |
| 1437173614 | Katherine Elizabeth Park | Dentist | 40 Park Ave, #6, New York, NY 10016-3467 | 2006-07-27 |
| Street Address |
210 ARK RD STE 216 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-3188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730402330 | Caitlin Schranz | Advanced Practice Midwife | 150 Century Pkwy, Suite A, Mount Laurel, NJ 08054-1129 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455781 | Dorothy Dara Cam | Advanced Practice Midwife | 100 Bowman Dr Fl 3, Voorhees, NJ 08043-9612 | 2020-04-05 |
| 1306485560 | Miranda L Peurala | Advanced Practice Midwife | 1221 Old York Rd, Burlington, NJ 08016-3809 | 2020-01-04 |
| 1356803506 | Ashley Susan Cautillo | Advanced Practice Midwife | 475 Route 70 Ste 101, Lakewood, NJ 08701-5897 | 2019-04-04 |
| 1285133454 | Emily J Martinie | Advanced Practice Midwife | 400 Creek Crossing Blvd, 412, Hainesport, NJ 08036 | 2018-02-02 |
| 1770008534 | Elizabeth Robin Clarkson | Advanced Practice Midwife | 2490 Pennington Rd Ste 204, Pennington, NJ 08534-5225 | 2017-08-13 |
| 1093251316 | Shellon Karim-lewis | Advanced Practice Midwife | 36 Tuscany Dr, West Windsor, NJ 08550-2473 | 2017-01-10 |
| 1710420658 | Christine Borden | Advanced Practice Midwife | 312 Professional View Dr Bldg 300, Freehold, NJ 07728-7904 | 2016-11-27 |
| 1952858243 | Polina Dubinsky | Advanced Practice Midwife | 13-17 Sunnyside Dr, Fair Lawn, NJ 07410-4237 | 2016-09-05 |
| 1881038974 | Leilah M Tyree | Advanced Practice Midwife | 514 Boonton Ave, Boonton, NJ 07005-1510 | 2013-04-19 |
| 1699016311 | Elizabeth M Smith | Advanced Practice Midwife | 11 Jon Dr, Barnegat, NJ 08005-2173 | 2013-03-05 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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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.