{"npi":"1710354907","type":"NPI-1","status":"active","name":{"display":"Mijeong Park Cpnp","other":[],"first":"MIJEONG","last":"PARK","credential":"CPNP"},"specialty":{"primary_taxonomy":"363LP0200X","primary_taxonomy_description":"Nurse Practitioner, Pediatrics","slug":"nurse-practitioner-pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"363LP0200X","description":"Nurse Practitioner, Pediatrics","primary":true,"state":"GA","license":"RN306003"}]},"addresses":[{"purpose":"LOCATION","street_1":"6286 OAKWOOD CIR","city":"NORCROSS","state":"GA","postal_code":"300931629","country_code":"US","phone":"6782482350"},{"purpose":"MAILING","street_1":"6286 OAKWOOD CIR","city":"NORCROSS","state":"GA","postal_code":"300931629","country_code":"US"}],"license":{"state":"GA","number":"RN306003"},"identifiers":[{"type_code":"01","label":"Other","value":"1579732","state":"NC","issuer":"WELLPATH"},{"type_code":"01","label":"Other","value":"1710354907","state":"NC","issuer":"HUMANA"},{"type_code":"01","label":"Other","value":"1710354907","state":"NC","issuer":"DOCTORS DIRECT"},{"type_code":"01","label":"Other","value":"1710354907","state":"NC","issuer":"HEALTHNET FEDERAL SERVICES"},{"type_code":"01","label":"Other","value":"298447","state":"NC","issuer":"MEDCOST"},{"type_code":"01","label":"Other","value":"4632274","state":"NC","issuer":"COVENTRY NATIONAL - COVENTRY PPO"},{"type_code":"01","label":"Other","value":"FH4002315","state":"NC","issuer":"FIRST CAROLINA CARE"},{"type_code":"01","label":"Other","value":"1579732","state":"NC","issuer":"COVENTRY OF THE CAROLINAS"},{"type_code":"05","label":"Medicaid","value":"1710354907","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"4948746","state":"NC","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"135452367","state":"NC","issuer":"PHCS/MULTIPLAN"},{"type_code":"01","label":"Other","value":"1710354907","state":"NC","issuer":"HEALTHSMART"},{"type_code":"05","label":"Medicaid","value":"1710354907","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"19EFK","state":"NC","issuer":"BCBS OF NC"},{"type_code":"01","label":"Other","value":"3455644","state":"NC","issuer":"CIGNA/GREATWEST"},{"type_code":"01","label":"Other","value":"5707800","state":"NC","issuer":"UNITED HEALTHCARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-08-24","last_updated":"2025-10-26","_meta":{"source":"NPPES","snapshot_date":"2025-10-26","doc_url":"https://findmynpi.com/api"}}