Individual provider Active NPI

Wendy Hill Park, PHD, CNS-PP ,BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Eugene, OR
National Provider Identifier
1861590036
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
201170009 Issued in OR
Practice address
207 E 5TH Ave Ste 246
Eugene, OR 97401-2762
Phone
(541) 200-6899
Fax
(541) 460-5167
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN076849 GA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 201170009 OR Primary

Addresses

Primary practice location

207 E 5TH Ave Ste 246
Eugene, OR 97401-2762

Mailing address

207 E 5TH Ave Ste 246
Eugene, OR 97401-2762
Phone (541) 200-6899

Other names 1

  • Dr. Wendy Hill Park Other name

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)
Enrolled
Credentials
Certified Nurse Specialist, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
201170009ORMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1861590036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E 5TH AVE STE 246",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012762",
            "telephone_number": "541-200-6899",
            "fax_number": "541-460-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 5TH AVE STE 246",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012762",
            "telephone_number": "541-200-6899",
            "fax_number": "541-460-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "WENDY",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "credential": "PHD, CNS-PP ,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN076849",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OR",
            "license": "201170009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "PARK",
            "middle_name": "HILL",
            "prefix": "DR.",
            "credential": "CNS-PP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.