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

Sho Park, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1225577661

Sho Park, FNP-BC is a Nurse Practitioner in Kapolei, Hawaii. Qualified in 2018, 8 years ago. Practices with Queens University Medical Group, a 623-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Hawaii, New Jersey and New York.

Years since qualifying
8
Licensed in
CA, HI, NJ, NY
In the registry since
2017
Specialties on file
4
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

599 Farrington Hwy Ste 201
Kapolei, HI 96707-2028
Phone: (808) 691-7338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-3493 (HI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ00812200 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 22 714607 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95013080 (CA)

Record details

NPI number1225577661
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 17, 2017
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kapolei