Active NPI
Jihyun Park, SLP
- Speech-Language Pathologist
- Charlottesville, VA
National Provider Identifier
1366606865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202005723
- Practice address
- 1985 Asheville Dr
Charlottesville, VA 22911-3570 - Phone
- (703) 344-4917
- NPI assigned
- Jul 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202005723 | VA | Primary |
Addresses
Primary practice location
1985 Asheville Dr
Charlottesville, VA 22911-3570
Mailing address
1985 Asheville Dr
Charlottesville, VA 22911-3570
Phone (703) 344-4917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202005723 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1366606865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 ASHEVILLE DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229113570",
"telephone_number": "703-344-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 ASHEVILLE DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229113570",
"telephone_number": "703-344-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JIHYUN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.