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Active NPI 1568852317 Individual Practitioner Female Practitioner

Song Y. Park , NP-C

Nurse Practitioner • Houston, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Song Park, NP-C is a certified Nurse Practitioner practicing in Houston, TX. With approximately 12 years of clinical experience since completing medical education in 2014, Song Park delivers high-quality medical care to the local community at 8588 KATY FWY STE 226A.

Song Park is affiliated with Vpa Of Texas Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

8588 Katy Fwy Ste 226a

Houston, TX 770241881

Telephone 7135326884
Fax 7135325756
Associated Practice Facility / Clinic
🏢 Vpa Of Texas Pllc Facility NPI 1093753907

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Houston, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +0.1 yrs vs City Avg
City Avg: 11.9 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
800 Specialists

Practicing in Houston, TX (4894 Statewide)

Telehealth Adoption Rate
13.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (12 Years) 12 Yrs
Houston Specialty Average (11.9 Years) 11.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 1185938

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License WA AP61211573

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License GA RN219551

Definition to come...

Hospital & Practice Group Affiliations

Vpa Of Texas Pllc

None, Houston, TX 77024

Phone: 7135326884

Secondary Practice Locations

771 Old Norcross Rd Ste 120

Lawrenceville, GA 300464977

Phone: 7706706920

23320 Highway 99

Edmonds, WA 980268744

Phone: 4256405500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Carmen Chen

Nurse Practitioner - Family

NPI 1023671427
Dr. Gita Singh , MD

Family Medicine

NPI 1033362652

Doctor of Medicine (M.D.)

Dr. Basti Thampoe , MD

Internal Medicine

NPI 1063421303

Doctor of Medicine (M.D.)

Bridie Yalala , APRN

Nurse Practitioner - Family

NPI 1104213800

Advanced Practice Registered Nurse

Sheree Slack , NP-C

Nurse Practitioner - Gerontology

NPI 1154968279

Nurse Practitioner (Certified)

Christina Crenshaw , NP

Nurse Practitioner - Family

NPI 1174015184

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location January 23, 2025

Registered at 8588 KATY FWY STE 226A, HOUSTON, TX 770241881 (Tel: 7135326884)

👤
Provider Name / Credentials Updated October 14, 2021

Recorded as SONG PARK, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2021

Nurse Practitioner (License #AP61211573 in WA)

📍
Updated Practice Location September 13, 2021

Registered at 23320 HIGHWAY 99, EDMONDS, WA 980268744 (Tel: 4256405500)

📍
Updated Business Mailing Address September 13, 2021

Registered at 23320 HIGHWAY 99, EDMONDS, WA 980268744 (Tel: 4256405500)

👤
Provider Name / Credentials Updated September 13, 2021

Recorded as SONG PARK, MSN, NP-C

NPI Profile Active November 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2017

Registered at 771 OLD NORCROSS RD STE 120, LAWRENCEVILLE, GA 300464977 (Tel: 7706706920)

📍
Updated Business Mailing Address November 15, 2017

Registered at 771 OLD NORCROSS ROAD, SUITE 120, LAWRENCEVILLE, GA 300464981 (Tel: 7706706920)

👤
Provider Name / Credentials Updated November 15, 2017

Recorded as SONG PARK, MSN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2017

Nurse Practitioner (License #RN219551 in GA)

NPI Profile Active February 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2015

Registered at 5582 MEMORIAL DR, STONE MOUNTAIN, GA 300833215 (Tel: 4042988998)

📍
Updated Business Mailing Address February 02, 2015

Registered at 2639 IRENE CIR, DULUTH, GA 300964147 (Tel: 8045023652)

👤
Provider Name / Credentials Updated February 02, 2015

Recorded as SONG PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2015

Nurse Practitioner (License #RN219551 in GA)

🟢
Initial NPI Registration & Enumeration February 02, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568852317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2015
Last Update: January 23, 2025
Sole Proprietor: No

Mailing Address

23320 Highway 99

Edmonds, WA 980268744

Phone: 4256405500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.