KIL JA PARK (NPI# 1285687657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285687657 |
Entity Type | Individual |
Full Name | KIL JA PARK |
Other Name | KIL JA YOU |
Credential | CRNA |
Practice Address |
1000 W Moreno St Pensacola FL 32501-2316 |
Mailing Address |
Po Box 10824 Birmingham AL 35202-0824 |
Practice Telephone | 8504378390 |
Practice Fax Number | 8504378394 |
Mailing Telephone | 2053221808 |
Mailing Fax Number | 2053221851 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP1099752 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BCBS | 59170242 | 01 |
AL | BCBS | 59170243 | 01 |
FL | BCBS | G0131 | 01 |
Street Address |
1000 W MORENO ST |
City | PENSACOLA |
State | FL |
Zip Code | 32501-2316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225035249 | Amy A Roberts | Nurse Anesthetist, Certified Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2005-07-05 |
1487254140 | Pensacola Hospitalist Physicians, LLC | Hospitalist | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2020-10-30 |
1558983924 | Brian Joseph Longoria | Nurse Anesthetist, Certified Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2020-05-08 |
1336779628 | Nova Sarah Francis | Nurse Practitioner | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2020-01-25 |
1457901779 | Joshua Philip Marshall | Registered Nurse | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-09-18 |
1518521152 | Dianne Montgomery | Physical Therapist | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-29 |
1740844729 | David Michael Saldana | Physical Therapy Assistant | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-25 |
1467015446 | Nicole Woodall | Physical Therapist | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-16 |
1730641382 | Taylor K Brown | Dietitian, Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-03 |
1932661584 | Heriberto Cruz | Dietitian, Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
Find all providers in zip 32501 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184262123 | Paul Andrew Valentine | Nurse Anesthetist, Certified Registered | 4018 Embers Lndg, Pensacola, FL 32505-3434 | 2019-12-19 |
1316304736 | Jeri Rose Chandler | Nurse Anesthetist, Certified Registered | 7477 Farmers Rd, Pensacola, FL 32526-3223 | 2016-01-16 |
1891092516 | Nathaniel Robert Clark | Nurse Anesthetist, Certified Registered | Naval Hospital 6000 West Hwy 98, Pensacola, FL 32512-0003 | 2011-02-15 |
1912225533 | Brian Duane Atchison | Nurse Anesthetist, Certified Registered | 6000 W Highway 98 Naval Hospital, Pensacola, FL 32512-0003 | 2010-05-06 |
1134339187 | Laura A Cohen | Nurse Anesthetist, Certified Registered | 5983 Arch Ave, Pensacola, FL 32526-3232 | 2007-05-22 |
1952429607 | Edwardo Chavelo Weldon | Nurse Anesthetist, Certified Registered | 6000 U S 98, Pensacola, FL 32512-0001 | 2007-03-27 |
1821114018 | Betty Anderson Yapa | Nurse Anesthetist, Certified Registered | 1000 E Moreno St, Pensacola, FL 32503-5656 | 2007-03-21 |
1104911783 | Billy Scott Vinson | Nurse Anesthetist, Certified Registered | 4810 North Davis Highway, Pensacola, FL 32503 | 2006-10-03 |
1518064682 | Christina L Smith | Nurse Anesthetist, Certified Registered | 4801 N Davis Hwy, Pensacola, FL 32503-2342 | 2006-09-20 |
1790791218 | Kathryn L Lowrey | Nurse Anesthetist, Certified Registered | 9400 University Parkway, Pensacola, FL 32514 | 2006-08-01 |
Find all providers in PENSACOLA |
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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.