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CHANGHEE PARK NP
NPI 1013570605
Nurse Practitioner - Primary Care in Boston, MA

Active since April 18, 2019
30 WINTER ST, BOSTON, MA 02108(617) 426-0600 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Changhee Park Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGHEE PARK NP (NPI 1013570605) is an individual primary care provider in Boston, Massachusetts, licensed in Massachusetts (2307013) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1013570605
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCHANGHEE PARKCredential: NP
Location Address30 WINTER STBoston, MA 02108-4720
Mailing Address30 Winter StBoston, MA 02108-4720
Phone(617) 426-0600
Sole ProprietorYes
Enumeration DateApril 18, 2019
✔ NPI 1013570605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MA · 2307013
30 WINTER ST, Boston, MA 02108
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARA BETH CAVAZZA NP
Nurse Practitioner
30 WINTER ST
BOSTON, MA 02108
Suffolk County (617) 426-0600
MR. THOMAS JAMES DELANEY JR. MSW
Social Worker
30 WINTER ST, 3RD FLOOR
BOSTON, MA 02108
Suffolk County (617) 482-5292
MS. BRYNN O'DONNELL NP
Nurse Practitioner
30 WINTER ST
BOSTON, MA 02108
Suffolk County (617) 426-0600
ZELYS YISEIRIE ADORNO PHARM.D,
Pharmacist
30 WINTER ST
BOSTON, MA 02108
Suffolk County (617) 426-0600
MS. HEATHER TRUJILLO
Pharmacy Technician
30 WINTER ST
BOSTON, MA 02108
Suffolk County (617) 426-0600
STEPHANIE O'DELL RN
Registered Nurse
30 WINTER ST
BOSTON, MA 02108
Suffolk County (866) 610-2273
JACOB KAGAN M.D.
Psychiatry & Neurology (Psychiatry)
30 WINTER ST
BOSTON, MA 02108
Suffolk County (617) 426-0600
BOSTON ALCOHOL AND SUBSTANCE ABUSE PROGRAM
Clinic/Center (Rehabilitation, Substance Use Disorder)
30 WINTER ST, 3RD FLOOR
BOSTON, MA 02108
Suffolk County (617) 482-5292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Changhee Park's NPI number?

The NPI number for Changhee Park is 1013570605. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Changhee Park located?

Changhee Park practices at 30 Winter St, Boston, MA 02108. The listed phone number is (617) 426-0600.

What is Changhee Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Changhee Park was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.