1. Home
  2. Directory
  3. NPI Profile

HANNAH PARK PA
NPI 1548985658
Physician Assistant in Apo, AE

Active since October 11, 2022
48TH MDG/RAF LAKENHEATH, UNIT 5115, APO, AE 09461(316) 222-9058 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2024, Oct 11, 2022 (2 updates tracked since 2022).

About Hannah Park Pa NPPES

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

HANNAH PARK PA (NPI 1548985658) is an individual physician assistant in Apo, AE, licensed in (1217989) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1548985658
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHANNAH PARKCredential: PA
Location Address48TH MDG/RAF LAKENHEATH, UNIT 5115Apo, AE 09461-5115
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600
Phone(316) 222-9058
Sole ProprietorYes
Enumeration DateOctober 11, 2022
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1548985658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 1217989
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
48TH MDG/RAF LAKENHEATH, Apo, AE 09461
Open in Google Maps ↗

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.

DR. ELIZABETH LEE BARBERA MD
Surgery
48TH MDG/RAF LAKENHEATH
APO, AE 09461
(912) 704-0632
HADEIAH MELODY HOSSEINI PA-C
Physician Assistant
48TH MDG/RAF LAKENHEATH
APO, AE 09461
(440) 163-8528
VLADIMIR P OSSELYN PA-C
Family Medicine
48TH MDG/RAF LAKENHEATH
APO, AE 09461
(440) 163-8528
DR. MICHELE ANDRIANNA CARY CSCD,MPH, MTS, OTR/L
Occupational Therapist (Pediatrics)
48TH MDG/RAF LAKENHEATH, UNIT 5115
APO, AE 09461
(678) 754-2788
JOSHUA WERK MAT, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
48TH MDG/RAF LAKENHEATH
APO, AL 09461
(314) 226-8124
DR. RACHEL LYNN DUCHOSLAV PHD
Psychologist (Clinical)
48TH MDG/RAF LAKENHEATH
APO, AE 09461
(314) 226-3308
DR. HANNAH MAXINE BRINK MD
Pediatrics
48TH MDG/RAF LAKENHEATH
APO, AE 09461
(314) 226-8408
DR. BRANDON NICHTER PHD
Psychologist (Clinical)
48TH MDG/RAF LAKENHEATH
APO, AE 09461
(858) 552-8585

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 Hannah Park's NPI number?

The NPI number for Hannah Park is 1548985658. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Hannah Park located?

Hannah Park practices at 48th Mdg/Raf Lakenheath Unit 5115, Apo, AE 09461. The listed phone number is (316) 222-9058.

What is Hannah Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Hannah Park was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.