CRYSTAL LEA CLARK (NPI# 1013452879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013452879 |
| Entity Type | Individual |
| Full Name | CRYSTAL LEA CLARK |
| Credential | APRN-C |
| Practice Address |
1101 Sw 29th St Topeka KS 66611-1200 |
| Practice Telephone | 7853794600 |
| Mailing Telephone | 7853794600 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-77518-082 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581311 | Crystal Clark | Massage Therapist | 12506 Ne 4th Ave Apt 101, North Miami, FL 33161-4668 | 2020-09-01 |
| 1366068470 | Crystal Sherase Clark | Technician | 4429 Grant St Ne, Washington, DC 20019-4739 | 2020-06-24 |
| 1467014894 | Crystal Clark | Chore Provider | 153 Brambury Dr Apt D, Rochester, NY 14621-1820 | 2019-07-06 |
| 1386112050 | Crystal Lynn Clark | Internal Medicine | 12056 224th St, Cambria Heights, NY 11411-2141 | 2018-11-11 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1801259619 | Crystal Clark | Technician, Other | 3400 State St # 750, Salem, OR 97301-5861 | 2016-03-30 |
| 1467829911 | Crystal Lynn Clark | Specialist/Technologist | 1500 Manley St, Dalton High School, Dalton, GA 30720-4088 | 2015-08-31 |
| 1386073070 | Crystal Shawn Clark | Nurse Anesthetist, Certified Registered | 240 W Sugar Loaf Rd, Tucson, AZ 85737-3756 | 2013-11-04 |
| 1417391160 | Crystal Joan Clark | Nurse Practitioner | 11930 Arbor St Ste 200, Omaha, NE 68144-2998 | 2013-04-24 |
| 1952677700 | Crystal Nache Clark | Counselor | 13902 Sage Thrasher Lane, Riverview, FL 33579 | 2012-03-27 |
| Street Address |
1101 SW 29TH ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66611-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275828535 | Peter L Loo | Family Medicine | 1101 Sw 29th St, Topeka, KS 66611-1200 | 2011-06-15 |
| 1457970782 | Uk St Francis Urgent Care | Clinic/Center | 1101 Sw 29th St, Topeka, KS 66611-1200 | 2020-04-16 |
| 1083150429 | Mackenzie Weldin | Nurse Practitioner | 1101 Sw 29th St, Topeka, KS 66611-1200 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870619 | Diane Delois Taylor | Technician | 3619 Sw Kirklawn Ave, Topeka, KS 66611 | 2019-09-17 |
| 1891189155 | Day-by-day Staff Relief, LLC | Home Health | 2016 Sw 37th St, Suite 100, Topeka, KS 66611 | 2015-03-25 |
| 1740606417 | Kerry Mees | Speech-Language Pathologist | 1205 Sw 29th St., Topeka, KS 66611 | 2014-03-05 |
| 1497052005 | Angela Diane Mcclain | Counselor | 1601 S.w 37th Street, Topeka, KS 66611 | 2011-02-16 |
| 1114230349 | Heather M Prichard | Social Worker | 2906 Sw Medford Ave, Topeka, KS 66611 | 2010-07-16 |
| 1740353101 | Jan C Hendrix Lcpc Lscsw Pa | Social Worker | 2300 Sw 29th Street Suite 222, Topeka, KS 66611 | 2006-11-15 |
| 1366538886 | Charles G Beier | Optometrist | 2400 S.w. 29th St., #136, Topeka, KS 66611 | 2006-10-04 |
| 1427140045 | Renee D Rodgers | Social Worker | 2201 Sw 29th, Topeka, KS 66611 | 2006-09-29 |
| 1295708063 | Colleen Ellis | Social Worker | 2201 Sw 29th St, Topeka, KS 66611 | 2006-02-10 |
| 1053310458 | Dennis D Tietze | Family Medicine | 1101 Sw 29th Street, Topeka, KS 66611 | 2005-07-18 |
| Find all providers in zip 66611 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730579 | Kimberly Dianne Dobler | Nurse Practitioner | 2830 Ne Kaw Valley Rd, Topeka, KS 66617-3425 | 2020-02-03 |
| 1659921815 | Brooke Martinez | Nurse Practitioner | 1724 Sw West Union Rd, Topeka, KS 66615-9715 | 2019-09-18 |
| 1023517166 | Bailey Stallbaumer | Nurse Practitioner | 6001 Sw 6th Ave Ste 200, Topeka, KS 66615-1004 | 2018-02-05 |
| 1588177984 | Angela R. Russell | Nurse Practitioner | 901 S Kansas Ave, Topeka, KS 66612-1210 | 2017-11-08 |
| 1659810372 | Jayme Jo Mejia | Nurse Practitioner | 200 Sw Frazier Circle, Topeka, KS 66606 | 2017-02-14 |
| 1992171813 | Aspire Behavioral Health Services, LLC | Nurse Practitioner | 1170 Sw Mission Ave, Suite B, Topeka, KS 66604-6160 | 2015-08-14 |
| 1023493087 | Samantha Chitwood | Nurse Practitioner | 4322 Se Oakwood St, Topeka, KS 66609-1642 | 2015-07-20 |
| 1326421124 | Chelsea F Bauer | Nurse Practitioner | 719 Sw Van Buren St Ste 100, Topeka, KS 66603-3741 | 2015-06-30 |
| 1871974758 | Amanda True | Nurse Practitioner | 1834 Sw Wanamaker Rd, Topeka, KS 66604-3825 | 2015-06-16 |
| 1114330115 | Lauren Fager | Nurse Practitioner | 620 Se Madison St, Topeka, KS 66607-1299 | 2014-06-06 |
| Find all providers in TOPEKA | ||||
Please comment or provide details below to improve the information on CRYSTAL LEA CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.