Active NPI 1558763516 Individual Practitioner Female Practitioner

Dr. Kristin A Park , DNP

Nurse Practitioner - Pediatrics • Covington, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kristin Park, DNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Covington, WA. Practice services are available at 17700 SE 272ND ST # 400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17700 Se 272nd St # 400

Covington, WA 980424951

Telephone 2533726512

Fax 2533726527

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Covington, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 6.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Covington, WA (508 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-21

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WA AP60491879

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License NV 814227

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WA AP60491879

Definition to come...

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location February 21, 2023

Registered at 17700 SE 272ND ST # 400, COVINGTON, WA 980424951 (Tel: 2533726512)

📍

Updated Business Mailing Address February 21, 2023

Registered at 10863 SE 218TH PL, KENT, WA 980311373 (Tel: 2533079681)

📍

Updated Practice Location August 13, 2020

Registered at 7135 W SAHARA AVE STE 100, LAS VEGAS, NV 891172828 (Tel: 7022229355)

📍

Updated Business Mailing Address August 13, 2020

Registered at 3463 PROCYON ST UNIT 235, LAS VEGAS, NV 891028416 (Tel: 2533079681)

👤

Provider Name / Credentials Updated August 13, 2020

Recorded as KRISTIN PARK, DNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2020

Nurse Practitioner (License #814227 in NV)

✅

NPI Profile Active November 12, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 12, 2014

Registered at 5700 100TH ST SE #510, LAKEWOOD, WA 98499 (Tel: 2534596060)

📍

Updated Business Mailing Address November 12, 2014

Registered at 5700 100TH ST SE #510, LAKEWOOD, WA 98499 (Tel: 2534596060)

👤

Provider Name / Credentials Updated November 12, 2014

Recorded as KRISTIN AGTARAP, DNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2014

Nurse Practitioner (License #AP60491879 in WA)

🟢

Initial NPI Registration & Enumeration September 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Kristin Park. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1558763516

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 22, 2014

Last Update: February 21, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10863 Se 218th Pl

Kent, WA 980311373

Phone: 2533079681

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.