Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeena Shinyoung Park

Individual provider Registered Nurse · NPI 1588187066

Jeena Shinyoung Park is a Certified Registered Nurse Anesthetist (CRNA) in San Antonio, Texas. Qualified in 2019, 7 years ago. Practices with Community Medicine Associates, a 589-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2017
Specialties on file
2

Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 358-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 — (808) 433-5994

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP142669 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 822234 (TX)

Record details

NPI number1588187066
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2017
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Community Medicine Associates — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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