BRIDGETT J CLARK (NPI# 1073125209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073125209 |
| Entity Type | Individual |
| Full Name | BRIDGETT J CLARK |
| Practice Address |
180 Chestnut St Rainelle WV 25962-1006 |
| Practice Telephone | 3044381043 |
| Mailing Telephone | 3044381043 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
180 CHESTNUT ST |
| City | RAINELLE |
| State | WV |
| Zip Code | 25962-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235622168 | Hannah Dawn Hellems | Nurse Practitioner | 658 Main St Ste A, Rainelle, WV 25962 | 2018-06-14 |
| 1528572070 | Sandra Arretha Swartz | Technician | 164 Fayette Avenue, Rainelle, WV 25962 | 2017-11-20 |
| 1912256959 | Jessica Belcher | Pharmacist | 518 Park Center, Rainelle, WV 25962 | 2012-09-06 |
| 1215946009 | Vicki Bowers Kerwin | Nurse Practitioner | 1401 Earl Core Road, Suite D, Morgantown, WV 25962 | 2006-08-08 |
| 1538331053 | Western Greenbrier Internal Medicine Pllc | Internal Medicine | 512 Main Street, Rainelle, WV 25962 | 2008-03-25 |
| 1235741497 | Teresa Louise Young | Technician | 227 Cherry St, Rainelle, WV 25962-1003 | 2020-08-19 |
| 1730626052 | Kaleb Ellison | Student in an Organized Health Care Education/Training Program | 227 Cherry St, Rainelle, WV 25962-1003 | 2017-01-24 |
| 1730172297 | Pamela S Butcher | Family Medicine | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2005-08-30 |
| 1942681390 | Heather Gail Heaster | Dentist | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2015-06-11 |
| 1265705909 | Jerra Leigh Shuff | Nurse Practitioner | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2012-02-10 |
| Find all providers in zip 25962 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538673 | Anthony J Fulton | Technician | 1125 James River and Kanawha Tpke, Rainelle, WV 25962-1867 | 2020-11-03 |
| 1326646183 | Barbara Sue Mitchell | Technician | 315 Valley Ave, Rainelle, WV 25962-1469 | 2020-10-14 |
| 1508463100 | Melinda Saunders | Technician | 230 Callison Dr, Rainelle, WV 25962-1175 | 2020-10-06 |
| 1477150613 | Sharon M Bryant | Technician | 110 Chestnut Ln, Rainelle, WV 25962-1372 | 2020-10-01 |
| 1588279095 | Tammy Jean Hanna | Technician | 156 11th St, Rainelle, WV 25962-1270 | 2020-09-11 |
| 1730792862 | Nicole Dawn Midkiff | Technician | 1851 Sewell Creek Rd, Rainelle, WV 25962-6837 | 2020-08-28 |
| 1083227219 | Cheri Ann Perry | Technician | 173 Orchard Dr, Rainelle, WV 25962-1863 | 2020-08-27 |
| 1689286981 | Bonnie Irene Brackenridge | Technician | 242 Locust St, Rainelle, WV 25962-1024 | 2020-08-18 |
| 1194336693 | Tammy Lynn Reichard | Technician | 38406 Midland Trl, Rainelle, WV 25962-6537 | 2020-08-10 |
| 1528572070 | Sandra Arretha Swartz | Technician | 164 Fayette Avenue, Rainelle, WV 25962 | 2017-11-20 |
| Find all providers in RAINELLE | ||||
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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.