LEE ANN CLARK (NPI# 1053735464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053735464 |
| Entity Type | Individual |
| Full Name | LEE ANN CLARK |
| Credential | RN |
| Practice Address |
15305 Waller Rd E Tacoma WA 98446-1533 |
| Mailing Address |
506 296th St E Roy WA 98580-7648 |
| Practice Telephone | 2536838768 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN00137963 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491048 | Lee Ann Clark | Case Manager/Care Coordinator | 326 W 11th St, Shawnee, OK 74801-6710 | 2019-01-25 |
| 1790817948 | Lee Lani Clark | Counselor | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2007-03-12 |
| 1497899272 | Lee W Clark | Psychiatry & Neurology | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2007-02-16 |
| 1417910860 | Lee A Clark Jr. | Optometrist | 1707 Medical Park Dr W, Wilson, NC 27893-2788 | 2006-04-07 |
| Street Address |
15305 WALLER RD E |
| City | TACOMA |
| State | WA |
| Zip Code | 98446-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689157836 | Ingrid Rodriguez Harvey | Counselor | 3816 152 St. Ct E, Tacoma, WA 98446 | 2018-09-13 |
| 1184837858 | Brenda Joyce Duzan | Acupuncturist | 5310 138th St. E., Tacoma, WA 98446 | 2007-05-08 |
| 1902275571 | Kylee Osowski | Speech-Language Pathologist | 16715 36th Ave E, Tacoma, WA 98446 | 2015-09-24 |
| 1407069156 | Michael Balmer | Massage Therapist | 5310 138th St. E., Tacoma, WA 98446 | 2007-05-08 |
| 1891969986 | Rona Herradura Dujon | Custodial Care Facility | 3105 192nd St E, Tacoma, WA 98446-1003 | 2008-04-18 |
| 1053861518 | Prestige Phlebotomy | Point of Service | 17630 30th Avenue Ct E, Tacoma, WA 98446-1113 | 2016-10-09 |
| 1376873943 | Anna Marie Backer | Massage Therapist | 18802 32nd Avenue Ct E, Tacoma, WA 98446-1198 | 2010-01-05 |
| 1902266620 | Randall Mczegle | Licensed Practical Nurse | 17812 35th Ave E, Tacoma, WA 98446-1202 | 2016-02-24 |
| 1033690672 | Cydne Rebecca Bartley | Massage Therapist | 18210 32nd Avenue Ct E, Tacoma, WA 98446-1280 | 2018-08-22 |
| 1740531342 | Kelly G Rocke | Speech-Language Pathologist | 16915 32nd Ave E, Tacoma, WA 98446-1307 | 2012-09-24 |
| Find all providers in zip 98446 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439377 | Pamela Kay Snook | Registered Nurse | 15701 B Street East, Health Room, Tacoma, WA 98445 | 2019-10-28 |
| 1023361383 | Laura Finnegan | Registered Nurse | 315 129th St S, Tacoma, WA 98444-5044 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467549 | Karen Adepoju | Registered Nurse | Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 | 2020-11-05 |
| 1790385458 | Cindy Daniel | Registered Nurse | 4012 S 158th St Apt L, Tukwila, WA 98188-2614 | 2020-10-30 |
| 1326655523 | Aerika Leigh Street | Registered Nurse | 18350 6th Ave Nw, Shoreline, WA 98177-3531 | 2020-09-30 |
| 1639799570 | Gabriel Hardt | Registered Nurse | 6208 60th Ave Ne, Seattle, WA 98115-7944 | 2020-04-21 |
| 1669012340 | Kesha Milne | Registered Nurse | 10001 School St, Peshastin, WA 98847-9728 | 2020-01-10 |
| 1639717432 | Rebecca Ann Baldwin | Registered Nurse | 1704 Gray St, Richland, WA 99352-3881 | 2019-12-12 |
| 1477198877 | Lisa Susan Link | Registered Nurse | 1132 172nd St Sw, Lynnwood, WA 98037-8255 | 2019-11-10 |
| 1376187104 | Kulwinder K Seera | Registered Nurse | 25 Rife Rd, Port Angeles, WA 98363-8433 | 2019-11-05 |
| 1679117931 | Sarah Rose Pierce | Registered Nurse | 2505 S Washington St, Port Angeles, WA 98362-6763 | 2019-10-30 |
| 1972144186 | Rebecca Ann Droter | Registered Nurse | 225 S Hofstetter St, Colville, WA 99114-3239 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
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| 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.