SUSAN YOUNG PARK (NPI# 1609376797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609376797 |
| Entity Type | Individual |
| Full Name | SUSAN YOUNG PARK |
| Credential | FNP-C |
| Practice Address |
2242 Repsdorph Rd Seabrook TX 77586-1566 |
| Mailing Address |
2242 Repsdorph Rd Seabrook TX 77586 |
| Practice Telephone | 8663892727 |
| Practice Fax Number | 4012163854 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP136484 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598117012 | Susan S Park | Pharmacist | 15131 E Crestline Ave, Centennial, CO 80015-2517 | 2016-07-08 |
| 1104230838 | Susan Park | Dentist | 3607 Old Spanish Trl, Suite G, Houston, TX 77021 | 2014-06-20 |
| 1922253673 | Susan Clair Park | Physical Therapist | 7 Spur Rd, Lansdale, PA 19446-1435 | 2008-11-21 |
| 1467668772 | Susan Yooshin Park | Radiology | 8 Calais, Newport Coast, CA 92657-1055 | 2007-05-15 |
| 1497309413 | Susan S Park | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2019-07-29 |
| 1306309463 | Susan Hahn Park | Speech-Language Pathologist | 2525 Brea Blvd, Fullerton, CA 92835-2787 | 2019-04-07 |
| 1962979989 | Susan S Park | Registered Nurse | 420 S 5th Ave, West Reading, PA 19611-2143 | 2018-10-29 |
| 1114253515 | Susan Jung Park | Family Medicine | 11420 Warner Ave, Fountain Valley, CA 92708-2529 | 2009-10-20 |
| 1003070640 | Susan Jin-sun Park | Family Medicine | 661 Sierra Rose Dr, Reno, NV 89511 | 2008-07-14 |
| 1811159411 | Susan Kyung Park | Student in an Organized Health Care Education/Training Program | 14445 Olive View Drive, Sylmar, CA 91342 | 2008-06-26 |
| Street Address |
2242 REPSDORPH RD |
| City | SEABROOK |
| State | TX |
| Zip Code | 77586-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154425940 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2242 Repsdorph Rd, Seabrook, TX 77586-1566 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841712437 | Taiwo Akinwande | Nurse Practitioner | 4601 Nasa Parkway 206d, Seabrook, TX 77586 | 2017-07-14 |
| 1407387681 | Jacqueline Jones | Nurse Practitioner | 2242 Repsdorph, Seabrook, TX 77586 | 2017-03-21 |
| 1447618400 | Veronique Morin | Family Medicine | 638 Shorewood Dr, Seabrook, TX 77586 | 2016-02-05 |
| 1982917936 | Chad Alexander Vanhoy | Specialist/Technologist, Other | 3101 Nasa Pkwy Ste F, Seabrook, TX 77586 | 2010-07-20 |
| 1710143433 | Jeremy Wilhelm Wittich | Dentist | 906 Shorewood Drive, Seabrook, TX 77586 | 2008-08-01 |
| 1659563468 | John A Garcia | Pharmacist | 2622 Nasa Rd 1, Suite E, Seabrook, TX 77586 | 2007-08-15 |
| 1790846285 | James Edward Staggs II | Dentist | 3120 E Nasa Road One, Seabrook, TX 77586 | 2006-12-12 |
| 1326156498 | Nathaniel Selvyn Wirt | Chiropractor | 2600 Nasa Rd I, Suite 101, Seabrook, TX 77586 | 2006-08-28 |
| 1497123921 | Jenny Lin | Nurse Practitioner | 2800 Bayport Blvd, Seabrook, TX 77586 | 2015-09-15 |
| 1053681023 | Advanced Surgical Assistants LLC | Specialist/Technologist, Other | 3101 Nasa Pkwy Ste F, Seabrook, TX 77586 | 2012-01-09 |
| Find all providers in zip 77586 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1346739711 | Amy Beth Wilson | Nurse Practitioner | 3101 Nasa Pkwy Ste B, Seabrook, TX 77586-6475 | 2018-05-01 |
| 1841712437 | Taiwo Akinwande | Nurse Practitioner | 4601 Nasa Parkway 206d, Seabrook, TX 77586 | 2017-07-14 |
| 1407387681 | Jacqueline Jones | Nurse Practitioner | 2242 Repsdorph, Seabrook, TX 77586 | 2017-03-21 |
| 1750630364 | Stephanie A Knight | Nurse Practitioner | 2800 Bayport Blvd, Seabrook, TX 77586-1566 | 2012-08-29 |
| 1831636422 | Cynthia Amarachi Okojie | Nurse Practitioner | 2800 Bayport Blvd, Seabrook, TX 77586-1566 | 2017-01-20 |
| 1215486451 | Diana Pena | Nurse Practitioner | 2800 Bayport Blvd, Seabrook, TX 77586-1566 | 2016-09-29 |
| 1497123921 | Jenny Lin | Nurse Practitioner | 2800 Bayport Blvd, Seabrook, TX 77586 | 2015-09-15 |
| 1770980880 | Tirita Jones | Nurse Practitioner | 2800 Bayport Blvd, Seabrook, TX 77586-1566 | 2014-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| 1164023289 | Gina Lynette Young-harper | Nurse Practitioner | 701 County Road 126, Cisco, TX 76437-6006 | 2020-11-04 |
| 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.