JENNY SONG SUK PARK (NPI# 1023618782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023618782 |
Entity Type | Individual |
Full Name | JENNY SONG SUK PARK |
Practice Address |
911 N Buffalo Dr Unit 210 Las Vegas NV 89128-0381 |
Practice Telephone | 7029323500 |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
1184857401 | Jenny Park | Optometrist | 1 Oakbrook Center, Oak Brook, IL 60523 | 2009-09-02 |
1851541494 | Jenny Hyosun Park | Optometrist | 705 E Bidwell St Ste 10, Folsom, CA 95630-3315 | 2008-09-19 |
1356752372 | Jenny Park | Optometrist | 8471 Beverly Blvd Ste 105, Los Angeles, CA 90048-3452 | 2014-05-13 |
1497192728 | Jenny Park | Nurse Practitioner | 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 | 2013-05-28 |
1558673681 | Jenny Park | Pharmacist | 3050 N Fry Rd, Katy, TX 77449-6240 | 2010-07-06 |
1669624052 | Jenny Y Park | Optometrist | 9500 S Western Ave, Evergreen Plaza #g3a, Evergreen Park, IL 60805-2856 | 2008-10-16 |
1013039205 | Jenny M. Park | Physical Therapist | 4700 Seton Center Pkwy, Suite 200, Austin, TX 78759-5295 | 2007-04-06 |
1134130388 | Jenny Ann Park | Pharmacist | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-08-11 |
Street Address |
911 N BUFFALO DR UNIT 210 |
City | LAS VEGAS |
State | NV |
Zip Code | 89128-0381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083746150 | Everyday Miracles | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2007-03-12 |
1275134512 | Young Eun Lee | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-11-03 |
1265030746 | Maria Antionette Ashby | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-10-15 |
1275131039 | Jasmine Monique Turner | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-10-14 |
1952908691 | Kwang Son Lee | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-10-06 |
1861007338 | Michelle S Rose | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-09-11 |
1447864095 | Roland Cataluna | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-09-01 |
1851902183 | Jessie Lee Carter | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-08-11 |
1396353470 | Porchia La'shay Parker | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-07-15 |
1407474927 | Donisha Paige | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
Find all providers in zip 89128 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
Find all providers in LAS VEGAS |
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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.