MS. CAROL ANN PARK (NPI# 1811198401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811198401 |
| Entity Type | Individual |
| Full Name | MS. CAROL ANN PARK |
| Credential | LMP AMTA |
| Practice Address |
1010 5th St Suite 210 Anacortes WA 98221 |
| Mailing Address |
5444 Solstice Ln Anacortes WA 98221 |
| Practice Telephone | 3604200703 |
| Mailing Telephone | 3604200703 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00015567 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710387717 | Carol Park | Specialist | 5711 225th St, 1 Fl, Oakland Gardens, NY 11364-2042 | 2014-08-26 |
| 1205913845 | Carol A. Park | Counselor | 1702 N. Collins Blvd. Ste 207, Richardson, TX 75080-3550 | 2006-11-01 |
| 1568023166 | Carol Yeojin Park | Pediatrics | 5841 S. Maryland Ave., M/c 8016, Chicago, IL 60637 | 2019-06-25 |
| 1477071603 | Carol S Park | Social Worker | 1841 Broadway, New York, NY 10023-7603 | 2017-09-08 |
| 1992193783 | Carol Young Park | Speech-Language Pathologist | 600 Highland Ave, Madison, WI 53792-0001 | 2014-12-31 |
| 1902006596 | Carol Lowenheim Park | Marriage & Family Therapist | 359 N Oak St, Ukiah, CA 95482-4302 | 2007-07-20 |
| 1144425109 | Carol H Park | Physical Therapist | 611 Saint Joseph Ave, Marshfield, WI 54449-1832 | 2007-06-19 |
| Street Address |
1010 5TH ST SUITE 210 |
| City | ANACORTES |
| State | WA |
| Zip Code | 98221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035703 | Amber Upchurch | Behavioral Analyst | 2405 28thst, Anacortes, WA 98221 | 2019-07-18 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1558843524 | Caitlyn Kimble Crowder | Physical Therapist | 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 | 2018-09-05 |
| 1740731819 | Stanojka Norma Stuart | Speech-Language Pathologist | 6837 Deer Lane, Anacortes, WA 98221 | 2016-10-24 |
| 1447638853 | Island Behavioral Medicine, Ps | Counselor | 3208 K Ave, Anacortes, WA 98221 | 2015-05-18 |
| 1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
| 1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
| 1104161066 | Nancy J. Schafer | Speech-Language Pathologist | 2200 M Avenue, Anacortes, WA 98221 | 2012-12-04 |
| 1063766053 | Ingrid K. Larson Thieman | Pharmacist | 9080 S March Pt Road B4, Anacortes, WA 98221 | 2012-10-30 |
| 1265793723 | Elga Kinnear | Psychologist | 1019 21st Street, Anacortes, WA 98221 | 2012-05-31 |
| Find all providers in zip 98221 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659934768 | Balanced Life Spa | Massage Therapist | 1010a 6th St, Anacortes, WA 98221-1718 | 2019-04-16 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1851899892 | Karen Rayleen Frazier | Massage Therapist | 4145 Sharpe Ln, Anacortes, WA 98221-8243 | 2018-01-24 |
| 1821544610 | Sherean Z Rogouski | Massage Therapist | 1519 38th St, Anacortes, WA 98221-3511 | 2016-08-31 |
| 1265806715 | Danielle Rustad | Massage Therapist | 907 6th St, Anacortes, WA 98221-1716 | 2015-11-20 |
| 1083012991 | Kayla Bethany Hall I | Massage Therapist | 11394 Havekost Rd, Anacortes, WA 98221-8799 | 2014-12-09 |
| 1326442898 | Lauren Michelle Drum | Massage Therapist | 3218 R Ave Ste A, Anacortes, WA 98221-3449 | 2014-10-13 |
| 1275969552 | Teresa S. Puskas | Massage Therapist | 3813 Terrace Dr, Anacortes, WA 98221-3657 | 2013-09-18 |
| 1083981765 | Vanessa Foster | Massage Therapist | 1010 34th St, Anacortes, WA 98221-4258 | 2011-11-22 |
| 1639493778 | Opulence Hair Salon, Pllc | Massage Therapist | 902 Commercial Ave, Anacortes, WA 98221-4115 | 2010-03-18 |
| Find all providers in ANACORTES | ||||
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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.