CHRISTINE PARK


Address: 347 Smith Ave N, Saint Paul, MN 55102-2387
Phone: 6512206789

CHRISTINE PARK (NPI# 1730188699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730188699
Entity Type Individual
Full Name CHRISTINE PARK
Credential CPNP
Practice Address 347 Smith Ave N
Saint Paul
MN 55102-2387
Mailing Address 2910 Centre Pointe Dr
35-121a
Roseville
MN 55113-1182
Practice Telephone 6512206789
Practice Fax Number 6512206807
Mailing Telephone 6518552327
Mailing Fax Number 6518552310
Enumeration Date 2005-07-21
Last Update Date 2007-11-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R134132-8 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 345804100 05

Other Providers CHRISTINE PARK

NPI Name Taxonomy Address Enumeration
1184113102 Christine Park Behavior Technician 429 Cedar Ct S, Buffalo Grove, IL 60089-6627 2018-05-04
1164949780 Christine S. Park Psychologist 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 2017-08-24
1386038842 Christine Park Counselor 45-445 Pua Inia St, Kaneohe, HI 96744-2937 2015-03-23
1861698326 Christine Park Dentist Unit 15660, Apo, AP 96271-5660 2007-06-22
1417947052 Christine Park Anesthesiology 1740 W Taylor St # 3200w, Chicago, IL 60612-7232 2005-10-25
1760048565 Christine Park Speech-Language Pathologist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2019-05-16
1922568500 Christine Miran Park Student in an Organized Health Care Education/Training Program 505 E 70th St, New York, NY 10021-4872 2019-03-21
1639637408 Christine S Park Student in an Organized Health Care Education/Training Program 345 E 24th St, New York, NY 10010-4020 2019-03-11
1326532797 Christine Park Pharmacist 2301 Ranch Road 620 S, Lakeway, TX 78734-6240 2018-06-19
1417479775 Christine Park Physician Assistant 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 2017-07-07

Office Location

Street Address 347 SMITH AVE N
City SAINT PAUL
State MN
Zip Code 55102-2387

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093714040 Kent W Wegmann Pediatrics 347 Smith Ave N, Saint Paul, MN 55102-2387 2005-07-20
1669087151 Rachel May Cochran Advanced Practice Midwife 347 Smith Ave N, Saint Paul, MN 55102-2387 2020-09-10
1013426147 Patra Ann Borden Registered Nurse 347 Smith Ave N, Saint Paul, MN 55102-2387 2017-09-20
1467976860 Christine Shamp Social Worker 347 Smith Ave N, Saint Paul, MN 55102-2387 2017-07-28
1366980286 Lauren Kathryn Lehr Social Worker 347 Smith Ave N, Saint Paul, MN 55102-2387 2017-02-11
1902357148 Alison L Olson Nurse Practitioner 347 Smith Ave N, Saint Paul, MN 55102-2387 2016-10-24
1508215385 Kelsey Hiatt Social Worker 347 Smith Ave N, Saint Paul, MN 55102-2387 2016-06-12
1407217458 Mai C Xiong Nurse Practitioner 347 Smith Ave N, Suite 401, Saint Paul, MN 55102-2387 2016-03-17
1467875104 Sara Reichert Genetic Counselor, MS 347 Smith Ave N, Garden View Medical Building 3rd Floor, Saint Paul, MN 55102-2387 2014-01-31
1932520400 Libbie Tuthill Nurse Practitioner 347 Smith Ave N, Suite 404, Saint Paul, MN 55102-2387 2013-12-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720623366 Ning Wu Acupuncturist Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 2019-11-07
1730730615 Tianwei Guo Acupuncturist 613 Grand Avenue, Saint Paul, MN 55102 2019-09-23
1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
1124419940 Suzanne Carl Speech-Language Pathologist 360 Colborne Avenue, St. Paul, MN 55102 2015-02-16
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538644562 Angela Ashton Nurse Practitioner 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 2018-09-25
1558865295 Meghan Kerry Deyo Nurse Practitioner 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 2018-03-19
1811323348 Karen Kay Hoyer Nurse Practitioner 310 Smith Ave N Ste 480, Saint Paul, MN 55102 2013-09-16
1043323678 Kimmy S Oberstar Nurse Practitioner 360 Sherman St Ste 200, Childrens Specialty Clinic Psychological Services Stpl, Saint Paul, MN 55102-2567 2006-08-17
1255353843 Kimberly Lynn Berg Nurse Practitioner 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 2006-07-24
1194788810 Janet Lowe Nurse Practitioner 360 Colborne St, Saint Paul, MN 55102-3228 2006-04-11
1184236739 Anna Rauch Nurse Practitioner 200 University Ave E, Saint Paul, MN 55101-2507 2020-08-17
1699334904 Jessica Determan Nurse Practitioner 205 Wabasha St S, Saint Paul, MN 55107-1805 2019-06-10
1104388644 Cassandra Hoshor Nurse Practitioner 345 Smith Ave N, Saint Paul, MN 55102-2346 2019-04-03
1083191522 Ikran Omar Hussein Nurse Practitioner 345 Smith Ave N, Saint Paul, MN 55102-2346 2018-07-27
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Competitor

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City SAINT PAUL
Zip Code 55102

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Dataset Information

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.

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