Kyoungsook Leah Park, AGACNP-BC
Acute Care Nurse Practitioner · Salt Lake City, UT
Kyoungsook Leah Park, AGACNP-BC is an acute care nurse practitioner with a practice address in Salt Lake City, Utah, and NPI 1396618054, issued on Sep 27, 2025. Check the license (Utah 12512586-4405, as entered in NPPES) with the Utah board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kyoungsook Leah Park
- Credential
- AGACNP-BC
- Primary taxonomy
- Acute Care Nurse Practitioner 363LA2100X
- License number
- 12512586-4405 UT
Self-reported in NPPES; status is on the state search - Practice location
- 2455 E Village Cir, Salt Lake City, UT 84108
- Phone
- (443) 846-9647
- Enumerated
- Sep 27, 2025
- Record last updated
- Apr 7, 2026
- Medicare enrollment
- Enrolled (PECOS I20260420003390); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest acute care nurse practitioner records → All 202 in Utah → Look up another NPI →
Verify Kyoungsook Leah Park in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 12512586-4405Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kyoungsook Leah Park among 202 acute care nurse practitioner records in Utah
Kyoungsook Leah Park, AGACNP-BC is one of 202 acute care nurse practitioner records with a practice address in Utah. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 93% of them.
- NPI issued2025 · 93% of these records are older, 2% newer
- In a Medicare fileNo · 86% of these records are
- In the CMS Doctors and Clinicians fileYes · 74% of these records are
- Graduated2025 · median 2018 among the 149 with a school on file
- Record last updated2026 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2100X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Acute Care Nurse Practitioner providers in Utah
There are 202 acute care nurse practitioner records in Utah. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 202 in Utah → Every provider in Salt Lake City → Acute Care Nurse Practitioner nationwide →
The 8 acute care nurse practitioner records with the nearest ZIP codes
- Jason CooperMurray, UT 841071780358671
- Mindy Esplin, DNPMurray, UT 841071508462151
- Cassandra Garcia, APRNMurray, UT 841071871138313
- Ranae Gonzales, AGACNP-BCMurray, UT 841071891276291
- Rachael Hubertz, APRNMurray, UT 841071326731308
- Megan McClenny, NURSE PRACTITIONERMurray, UT 841071457068025
- Lauren McCreath, APRNMurray, UT 841071649094145
- John Michael, DNP-ACNPMurray, UT 841071588224604
Common questions
What is Kyoungsook Leah Park, AGACNP-BC's NPI number?
Kyoungsook Leah Park, AGACNP-BC's National Provider Identifier (NPI) is 1396618054, issued on Sep 27, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Kyoungsook Leah Park, AGACNP-BC located?
The NPPES record lists a practice address at 2455 E Village Cir, Salt Lake City, UT, 84108. Phone: (443) 846-9647. Providers update this record themselves, so call before visiting.
How can I verify Kyoungsook Leah Park, AGACNP-BC's license?
NPPES lists Utah license number 12512586-4405, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.