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

Song Y. Park, NP-C

Individual provider Nurse Practitioner · NPI 1568852317

Song Y. Park, NP-C is a Nurse Practitioner in Houston, Texas. Qualified in 2014, 12 years ago. Practices with Vpa of Texas PLLC, a 66-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Texas and Washington.

Years since qualifying
12
Licensed in
GA, TX, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

8588 Katy Fwy Ste 226A
Houston, TX 77024-1881
Phone: (713) 532-6884
Fax: (713) 532-5756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 771 Old Norcross Rd Ste 120, Lawrenceville, GA 30046-4977 — (770) 670-6920
  • 23320 Highway 99, Edmonds, WA 98026-8744 — (425) 640-5500

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1185938 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61211573 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN219551 (GA)

Record details

NPI number1568852317
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 2, 2015
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Vpa Of Texas Pllc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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