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MADELINE PARK DNP, APRN
NPI 1053746495
Nurse Practitioner in Salt Lake City, UT

Active since September 04, 2013
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(206) 890-5699 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2026, Dec 9, 2025 (2 updates tracked since 2025).

About Madeline Park Dnp, Aprn NPPES

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

MADELINE PARK DNP, APRN (NPI 1053746495) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (11905610-4405) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1053746495
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADELINE PARKCredential: DNP, APRN
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(206) 890-5699
Sole ProprietorNo
Enumeration DateSeptember 4, 2013
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1053746495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 11905610-4405
Definition

(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.

100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Other Providers at the Same Location NPPES 20

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

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Madeline Park's NPI number?

The NPI number for Madeline Park is 1053746495. It was assigned to this individual provider in the NPPES registry on September 4, 2013.

Where is Madeline Park located?

Madeline Park practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (206) 890-5699.

What is Madeline Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Madeline Park was last updated on January 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.