MS. SANDRA LUCILLE PARK (NPI# 1356479380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356479380 |
| Entity Type | Individual |
| Full Name | MS. SANDRA LUCILLE PARK |
| Credential | ARNP |
| Practice Address |
5527 Stewart St Milton FL 32570-4303 |
| Mailing Address |
Po Box 929 Milton FL 32572-0929 |
| Practice Telephone | 8509835200 |
| Practice Fax Number | 8509835215 |
| Mailing Telephone | 8509835200 |
| Mailing Fax Number | 8509835215 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
1805132 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285984120 | Sandra Sungju Park | Acupuncturist | 190 Sylvan Ave # 1, Englewood Cliffs, NJ 07632-2546 | 2012-09-18 |
| 1326086158 | Sandra W Park | Psychiatry & Neurology | 113 1/2 E 62nd St, New York, NY 10065-7301 | 2006-06-03 |
| 1306372057 | Sandra Hyunsoo Park | Student in an Organized Health Care Education/Training Program | 800 Washington St, Boston, MA 02111-1552 | 2017-05-01 |
| Street Address |
5527 STEWART ST |
| City | MILTON |
| State | FL |
| Zip Code | 32570-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341307 | Thomas D Riney Jr. | Pediatrics | 5527 Stewart St, Milton, FL 32570-4303 | 2005-10-24 |
| 1023656766 | Donna Renee Lowe | Community Health Worker | 5527 Stewart St, Milton, FL 32570-4303 | 2019-12-12 |
| 1184185316 | Nancy A Hardison | Health Educator | 5527 Stewart St, Milton, FL 32570-4303 | 2019-03-29 |
| 1144789173 | Kari Lewis | Health Educator | 5527 Stewart St, Milton, FL 32570-4303 | 2019-03-19 |
| 1063970911 | Erika Cathey | Health Educator | 5527 Stewart St, Milton, FL 32570-4303 | 2019-03-11 |
| 1972061091 | Kristie Beckstrom | Health Educator | 5527 Stewart St, Milton, FL 32570-4303 | 2019-03-07 |
| 1972081578 | Florida Department of Health | Health Educator | 5527 Stewart St, Milton, FL 32570 | 2018-08-06 |
| 1295241651 | Angela Gaia Carrasco | Registered Nurse | 5527 Stewart St, Milton, FL 32570-4303 | 2017-12-21 |
| 1922514637 | Angela Bledsoe | Registered Nurse | 5527 Stewart St, Milton, FL 32570-4303 | 2017-12-18 |
| 1669987590 | Sherry Worley | Registered Nurse | 5527 Stewart St, Milton, FL 32570-4303 | 2017-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005464 | Sharon Resto | Nurse Practitioner | 16206 Breckinmore Ln, Tampa, FL 33625-1004 | 2020-08-25 |
| 1346863552 | Danielle Selig Jaeger | Nurse Practitioner | 27 Flowertree Dr, Ormond Beach, FL 32174-3091 | 2020-05-21 |
| 1568096550 | Denise Nicely | Nurse Practitioner | 5100 Station Way, Sarasota, FL 34233-3221 | 2020-02-27 |
| 1104450592 | Kionna Sadie Pitts | Nurse Practitioner | 2902 N Armenia Ave Ste 100, Tampa, FL 33607-1661 | 2020-02-25 |
| 1720610090 | Patricia Rivero | Nurse Practitioner | 445 Woodcrest Rd, Key Biscayne, FL 33149-1838 | 2020-02-05 |
| 1215567524 | Kristina Chardon | Nurse Practitioner | 11500 University Blvd Ste B, Orlando, FL 32817-2197 | 2020-01-26 |
| 1962043554 | Marcel Bernadette Nagel | Nurse Practitioner | 1523 Ashlee Branch Way, Saint Johns, FL 32259-1923 | 2019-10-04 |
| 1336798412 | Vicky Arlene Smith | Nurse Practitioner | 501 Pointe Allyson Way, Orlando, FL 32825-5973 | 2019-09-10 |
| 1003476011 | Angela Marie Bumpus | Nurse Practitioner | 9121 Lantern Oak Way, Land O Lakes, FL 34638-2607 | 2019-06-20 |
| 1396301230 | Mary Elizabeth Buie | Nurse Practitioner | 5457 Baldwin Park St, Orlando, FL 32814-6749 | 2019-05-16 |
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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.