Sunny Park, RIC 0704016954

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0704016954 Issued in VA

Practice address

7051 Heathcote Village Way Ste 115
Gainesville, VA 20155-3197

Phone

(571) 918-9239

NPI assigned

Jun 6, 2024

Last updated

Jun 6, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1942042411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14504 SHELTER LN",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692423",
            "telephone_number": "310-505-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 HEATHCOTE VILLAGE WAY STE 115",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553197",
            "telephone_number": "571-918-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUNNY",
        "credential": "RIC 0704016954",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704016954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paragon Counseling Services
• Parallax Transport LLC (H&M Transport)
• Vipul Virendra Parikh, M.D.
• Brian Byungjin Park, M.D.
• Rachel Park, DIPL AC (NCBHAM)
• Sonia Parker, WHNP
• Passport Health Holdings, LLC
• Dipenkumar Patel, B.S PHARMACY
• Naiya Patel, PHARM D
• Nidhi Dipakkumar Patel, PA-C

• Professional Counselor in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.