IndividualActive
Katie Park
NPI 1063372803 · Registered Nurse · Long Island City, NY
Katie Park is a Registered Nurse provider in Long Island City, NY (NPI 1063372803).
Provider details
- NPI number
- 1063372803
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 79718201 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2811 Queens Plz N Fl 5
Long Island City, NY 11101-4172
Phone: (718) 301-8300
Street-level locationGet directions
Mailing address
5051 205th St
Bayside, NY 11364-1043
Registry dates
- Enumerated
- 2025-11-14
- Last updated
- 2025-11-14
- Certified
- 2025-11-14
Frequently asked questions
- What is Katie Park's NPI number?
- Katie Park's National Provider Identifier (NPI) is 1063372803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katie Park's specialty?
- Katie Park is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Katie Park located?
- Katie Park's practice location on file with NPPES is 2811 Queens Plz N Fl 5, Long Island City, NY 11101-4172.
- What is Katie Park's phone number?
- The practice phone number listed in the NPPES registry for Katie Park is (718) 301-8300.
- Is Katie Park's NPI active?
- Yes — Katie Park's NPI (1063372803) is active in the NPPES registry as of the last update on 2025-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.