HANNAH MARIE PARK (NPI# 1740702745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740702745 |
| Entity Type | Individual |
| Full Name | HANNAH MARIE PARK |
| Credential | BA |
| Practice Address |
66 Pavilion Ave Providence RI 02905-1522 |
| Practice Telephone | 4014619110 |
| Mailing Telephone | 4604619110 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657430 | Hannah Park | Ophthalmology | 2500 Hospital Blvd Ste 115, Roswell, GA 30076-4946 | 2015-04-19 |
| 1366716219 | Hannah Park | Registered Nurse | 215 Mobile Dr, Ashland, OR 97520-9021 | 2012-02-23 |
| 1356562268 | Hannah Park | Pharmacy Technician | 6500 North Fwy Ste 111, Houston, TX 77076-2941 | 2007-05-01 |
| 1114579349 | Hannah H Park | Clinical Nurse Specialist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2019-07-09 |
| 1821588401 | Hannah Park | Behavioral Analyst | 20 Eastbrook Rd, Dedham, MA 02026-2075 | 2018-05-18 |
| 1720505985 | Hannah Belle Park | Student in an Organized Health Care Education/Training Program | 1500 S Ave K, Station 3, Shroc, Portales, NM 88130 | 2017-08-28 |
| 1376922682 | Hannah Park | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2015-05-20 |
| 1942606967 | Hannah Park | Pharmacist | 490 W Washington St, Sequim, WA 98382-3342 | 2014-11-18 |
| 1831526268 | Hannah C Park | Social Worker | 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914 | 2013-09-30 |
| 1730421884 | Hannah Park | Podiatrist | 1660 Feehanville Dr Ste 100, Mount Prospect, IL 60056-6014 | 2013-03-26 |
| Street Address |
66 PAVILION AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521488 | R.i.s.a.t., LLC | Clinic/Center | 66 Pavilion Ave, Providence, RI 02905-1522 | 2005-07-11 |
| 1366065898 | Stephanie Goncalves | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2020-05-19 |
| 1831736974 | Brandi J Mcdonnell | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2019-12-09 |
| 1396382347 | Wandali Perez | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2019-12-09 |
| 1811461403 | Alexander Tobias Jorrin | Physician Assistant | 66 Pavilion Ave, Providence, RI 02905-1522 | 2019-01-16 |
| 1083190086 | Natalia Navarro | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2018-07-13 |
| 1023505732 | Theresa Scibilia | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2018-04-18 |
| 1336689637 | Robert Matuszek | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-03-06 |
| 1518407816 | Melanie Nelson | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-03-06 |
| 1770033359 | Jamie Savage | Counselor | 66 Pavilion Ave, Providence, RI 02905 | 2016-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1952873317 | Better Care Transport LLC | Counselor | 448 Public St, Providence, RI 02907-1223 | 2018-12-26 |
| 1407234172 | David Lee Russell Jr. | Counselor | 60 Comstock Ave, Providence, RI 02907-1206 | 2015-05-13 |
| 1558755082 | Souad Cheteyan | Counselor | 315 Mount Pleasant Ave, Providence, RI 02908-3836 | 2015-03-23 |
| 1588081533 | Nicole Ann Hutto | Counselor | 20 Vandieman Ave, Providence, RI 02909-5560 | 2014-03-27 |
| 1396050597 | Daniel D Strother | Counselor | 66 Pavilion Ave., Providence, RI 02905 | 2010-08-11 |
| 1902137748 | Lux Maria Taylor | Counselor | 662 Hartford Ave, Providence, RI 02909-5917 | 2010-01-19 |
| 1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1316063829 | Digna Marrero | Counselor | 16 Borinquen St, 662 Hartford Ave., Providence, RI 02905-3202 | 2007-03-22 |
| 1467554634 | George Edward Benedict | Counselor | Providence Vamc, 830 Chalkstone Avenue, Providence, RI 02908-4799 | 2006-09-01 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on HANNAH MARIE 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.