Dod

Primary specialty

Inpatient Obstetric Registered NurseTaxonomy code 163WX0003X

License

0001109410 Issued in VA

Legal business name

DOD

Practice address

9501 Farrell Rd
Fort Belvoir, VA 22060-5901

Phone

(703) 805-0067

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kyung Ok Park, BSN

Title

Clinical Nurse

Phone

(703) 805-0067

Specialties & licenses 1

Addresses

Other names 1

• MEDDAC Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265595482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 HILLSIDE MANOR DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522240",
            "telephone_number": "703-752-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 FARRELL RD",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605901",
            "telephone_number": "703-805-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_middle_name": "OK",
        "authorized_official_title_or_position": "CLINICAL NURSE",
        "authorized_official_telephone_number": "703-805-0067",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "VA",
            "license": "0001109410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDDAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bonnie Young Dixon
• Kristi Lynn Dixon, DNP, RN, NNP-BC
• Thomas Dixon
• Minh-Huong Lu Doan, PHARMD
• Craig Pritchard Dobson, MD
• April-Elizabeth Dodier, DO
• Maria D. Dominguez, PHYSICAL THERAPIST
• Kellye Ann Donovan, PHARM. D., MHA, PHD
• Martin Doperak, D.O.
• Peter Lewis Dorf, DMD

• Inpatient Obstetric Registered Nurse in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Inpatient Obstetric Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.