KELSEY LEIGH-ANN CLARK (NPI# 1063010312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063010312 |
| Entity Type | Individual |
| Full Name | KELSEY LEIGH-ANN CLARK |
| Credential | CRNP |
| Practice Address |
10939 Al Highway 157 Moulton AL 35650-1914 |
| Practice Telephone | 2569746550 |
| Practice Fax Number | 2569746551 |
| Mailing Telephone | 2569746550 |
| Mailing Fax Number | 2569746551 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-150045 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215489307 | Kelsey Ann Clark | Spec/Tech, Cardiovascular | 13 Indian Ridge Rd, New Milford, CT 06776-4614 | 2016-10-25 |
| 1205193984 | Kelsey Nicole Clark | Counselor | 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 | 2012-04-18 |
| 1174124374 | Kelsey Clark | Social Worker | 1865 N Ridge Rd E, Lorain, OH 44055-3300 | 2020-11-04 |
| 1972102465 | Kelsey Clark | Pharmacist | 1362 W Main St, Whitewater, WI 53190-1504 | 2020-10-26 |
| 1063034593 | Kelsey Ann Clark | Behavioral Analyst | 420 S Jones Blvd, Las Vegas, NV 89107-2658 | 2020-05-06 |
| 1164948337 | Kelsey Anne Clark | Physical Therapy Assistant | 8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019-4630 | 2017-08-18 |
| 1891145520 | Kelsey Clark | Occupational Therapist | 721 N Juniata St, Hollidaysburg, PA 16648-1455 | 2016-06-14 |
| 1144510629 | Kelsey Nichole Clark | Occupational Therapist | 165 Plaza Ct, Kingwood, WV 26537-1653 | 2011-04-18 |
| 1679870604 | Kelsey Lynn Clark | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-02-28 |
| Street Address |
10939 AL HIGHWAY 157 |
| City | MOULTON |
| State | AL |
| Zip Code | 35650-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124062286 | Attentus Moulton, LLC | Clinic/Center | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2006-06-16 |
| 1912538273 | Hannah Kalyn Long | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1914 | 2020-01-27 |
| 1073002515 | Megan Lynn Sanford | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2018-05-09 |
| 1528595808 | Jessica Ann Sharp | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2017-05-17 |
| 1851758635 | Whitney Paige Martin | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2016-01-25 |
| 1841689213 | Misti Michelle Brown | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2015-01-22 |
| 1275922189 | Wyndie Watson White | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2015-01-15 |
| 1972862837 | Attentus Moulton LLC | Clinic/Center | 10939 Al Highway 157, Suite C, Moulton, AL 35650-1900 | 2012-05-14 |
| 1164458253 | Gene Kay Cheng | Pediatrics | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2006-06-23 |
| 1194761858 | Siridao Laohasatit Cheng | Pediatrics | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2006-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| Find all providers in zip 35650 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1023000635 | Kari Kirby | Nurse Practitioner | 94 Medical Cir, Moulton, AL 35650-1256 | 2005-08-19 |
| 1912538273 | Hannah Kalyn Long | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1914 | 2020-01-27 |
| 1073002515 | Megan Lynn Sanford | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2018-05-09 |
| 1528595808 | Jessica Ann Sharp | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2017-05-17 |
| 1851758635 | Whitney Paige Martin | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2016-01-25 |
| 1841689213 | Misti Michelle Brown | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2015-01-22 |
| 1275922189 | Wyndie Watson White | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2015-01-15 |
| 1750682753 | Robin Katherine Crampsey | Nurse Practitioner | 11809 Al Highway 157, Moulton, AL 35650-2707 | 2010-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| 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.