Anne Park, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

817289 Issued in NV

Practice address

11401 Robbia Dr
Las Vegas, NV 89138-1507

Phone

(818) 336-2192

NPI assigned

Mar 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Julie Wu, Inc

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1942400494
  Medicare reassignment NPD
• Ming-Wei Wu, Inc

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144
  Medicare reassignment NPD

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1417650896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 ROBBIA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381507",
            "telephone_number": "818-336-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 ROBBIA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381507",
            "telephone_number": "818-336-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "817289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Family Eyecare 2
• Park Family Eyecare Inc.
• Park Psychiatry PLLC
• Julie S Park-Chang, O.D.
• Allen Park, PA-C
• Bo Park, OTD
• Bu Soon Park
• Chan Jerome Park, MD, PHD
• Daniel Park, D.O.
• David Park

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.