MICHELLE NICOLE PARK (NPI# 1730465246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730465246 |
| Entity Type | Individual |
| Full Name | MICHELLE NICOLE PARK |
| Credential | MS, LAT, ATC |
| Practice Address |
669 E Main St New Holland PA 17557-1409 |
| Mailing Address |
4 Sue Cir Lebanon PA 17042-6885 |
| Practice Telephone | 7173541139 |
| Mailing Telephone | 8145906153 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT005213 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL3125 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811525785 | Michelle S Park | Marriage & Family Therapist | 3801 23rd Ave Ste 415, Astoria, NY 11105-1532 | 2020-03-27 |
| 1740694918 | Michelle E Park | Dermatology | 2 5th Ave Unit 2, New York, NY 10011-8856 | 2014-06-16 |
| 1114579083 | Michelle Park | Counselor | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2019-07-11 |
| 1558925743 | Michelle Jungae Park | Nurse Practitioner | 4995 Lanier Islands Pkwy, Buford, GA 30518-1741 | 2019-04-24 |
| 1851895965 | Michelle Hae-min Park | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2018-03-22 |
| 1811428667 | Michelle Park | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, City Tower, Ste 400, Orange, CA 92868-3201 | 2017-03-23 |
| 1265976872 | Michelle Ju Hyun Park | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2016-12-15 |
| 1639613045 | Michelle Hansol Park | Pharmacist | 2690 Pacific Coast Hwy, Torrance, CA 90505-7038 | 2016-12-05 |
| 1366819708 | Michelle Anna Park | Pharmacist | 12254 Bellflower Blvd, Downey, CA 90242-2804 | 2015-09-01 |
| 1346616745 | Michelle Myoungwoo Park | Registered Nurse | 3075 Adeline St Ste 280, Berkeley, CA 94703-2580 | 2015-08-19 |
| Street Address |
669 E MAIN ST |
| City | NEW HOLLAND |
| State | PA |
| Zip Code | 17557-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861549917 | Eastern Lancaster County School District | Local Education Agency (LEA) | 669 E Main St, New Holland, PA 17557-1409 | 2007-01-04 |
| 1003192519 | Marc L Schaffer | Specialist/Technologist | 669 E Main St, New Holland, PA 17557-1409 | 2011-10-28 |
| 1669658498 | Edward Francis Yapsuga | Specialist/Technologist | 669 E Main St, New Holland, PA 17557-1409 | 2008-01-10 |
| 1477767200 | T.w. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 669 E Main St, New Holland, PA 17557-1409 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296448 | Buehler Family Dental, P.C. | Dentist | 912 W Main Street, Suite 404, New Holland, PA 17557 | 2019-10-11 |
| 1972012318 | Andrews Eye Corporation | Clinic/Center | 117 West Main Street, New Holland, PA 17557 | 2017-09-28 |
| 1528295961 | Tuyet-nga Q Vu | Family Medicine | 676 East Main Street, New Holland, PA 17557 | 2009-06-12 |
| 1396922613 | T W Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 126 Eastern School Road, Earl Township, PA 17557 | 2008-01-29 |
| 1326252461 | William M Sabo | Dentist | 912 West Main Street, Suite 202, New Holland, PA 17557 | 2007-05-09 |
| 1699864934 | Daniel C West | Dentist | 650 East Main Street, New Holland, PA 17557 | 2006-10-12 |
| 1114010758 | Sherri Beth Newill | Specialist/Technologist | 669 E Main Street, New Holland, PA 17557 | 2006-10-02 |
| 1487668620 | James Michael Amor | Dentist | 566 East Main Street, New Holland, PA 17557 | 2006-07-27 |
| 1841776127 | Lisa Ann Nolan | Nurse Practitioner | 584 Springville Rd, New Holland, PA 17557 | 2018-07-19 |
| 1376038505 | Stephanie K Glick | Nurse Practitioner | 435 S Kinzer Ave, New Holland, PA 17557 | 2018-06-29 |
| Find all providers in zip 17557 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720590532 | Allison Smith | Specialist/Technologist | 109 W Front St, New Holland, OH 43145-9725 | 2017-11-02 |
| 1114010758 | Sherri Beth Newill | Specialist/Technologist | 669 E Main Street, New Holland, PA 17557 | 2006-10-02 |
| 1003192519 | Marc L Schaffer | Specialist/Technologist | 669 E Main St, New Holland, PA 17557-1409 | 2011-10-28 |
| 1669658498 | Edward Francis Yapsuga | Specialist/Technologist | 669 E Main St, New Holland, PA 17557-1409 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW HOLLAND |
| Zip Code | 17557 |
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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.