MRS. MELISSA ANN CLARK (NPI# 1114160199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114160199 |
Entity Type | Individual |
Full Name | MRS. MELISSA ANN CLARK |
Credential | LPN |
Practice Address |
113 Cheney St Syracuse NY 13207 |
Practice Telephone | 3154789463 |
Mailing Telephone | 3154789463 |
Enumeration Date | 2009-04-07 |
Last Update Date | 2009-04-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 291875 | NY | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902336753 | Melissa Lynn Clark | Audiologist | 69 Allen St Ste 1, Rutland, VT 05701-4564 | 2017-06-14 |
1245764638 | Melissa Clark | Social Worker | 2906 F St, Unit 6860, Eureka, CA 95502-4101 | 2017-04-12 |
1861843328 | Melissa Clark | Case Manager/Care Coordinator | 21 Seneca Dr, Horseheads, NY 14845-1082 | 2016-06-27 |
1982054862 | Melissa A Clark | Social Worker | 3142 W Fullerton Ave Apt 1, Chicago, IL 60647-7997 | 2016-06-21 |
1518236900 | Melissa Yvonne Clark | Counselor | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2011-12-14 |
1063799682 | Melissa Newkam Clark | Occupational Therapist | 5745 Old Winder Hwy Ste C, Braselton, GA 30517-1637 | 2011-11-10 |
1902084858 | Melissa Clark | Registered Nurse | 3251 West 9th Street, Waterloo, IA 50702 | 2008-02-02 |
1447462189 | Melissa Kipp Clark | Audiologist | 5304 Manatee Ave W, Bradenton, FL 34209-3743 | 2007-05-04 |
1548398506 | Melissa Darlene Clark | Licensed Practical Nurse | 105 Waverly Plz, Waverly, TN 37185-1531 | 2007-03-01 |
1760546428 | Melissa Ann Clark | Speech-Language Pathologist | 520 Grange Rd, Cave City, AR 72521 | 2006-12-20 |
Street Address |
113 CHENEY ST |
City | SYRACUSE |
State | NY |
Zip Code | 13207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588150254 | Tonia Michelle Moore | Licensed Practical Nurse | 621 West Brighton Ave, Syracuse, NY 13207 | 2018-07-06 |
1992154710 | Alza Theresa Johnson | Licensed Vocational Nurse | 139 Clyde Ave, Syracuse, NY 13207 | 2016-06-13 |
1932528627 | Chakira Harris | Licensed Practical Nurse | 943 West Lafayette Ave, Apt 2, Syracuse, NY 13207 | 2014-04-10 |
1598195471 | Brittany St. Dennis | Licensed Practical Nurse | 134 Swrhill Terrace, Syracuse, NY 13207 | 2013-11-14 |
1417380445 | Terence White | Registered Nurse | 314 Palmer Ave, Syracuse, NY 13207 | 2013-08-13 |
1447587795 | Lauren C Belair | Licensed Practical Nurse | 3665 Gardenia Dr., Baldwinsville, NY 13207 | 2009-11-06 |
1497088843 | Eileen R. Mchale | Speech-Language Pathologist | 301 Valley Drive, Parkside Children's Center, Syracuse, NY 13207 | 2009-09-16 |
1356565675 | Mary Agnes Wykstra | Registered Nurse | 1540 Glenwood Ave, Syracuse, NY 13207-1011 | 2007-04-11 |
1326297482 | Kelly Lorraine Evans | Registered Nurse | 1540 Glenwood Ave, Syracuse, NY 13207-1011 | 2008-09-14 |
1164674727 | Hope R Ford | Licensed Practical Nurse | 541 Velasko Rd, Syracuse, NY 13207-1030 | 2008-10-15 |
Find all providers in zip 13207 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053927848 | Gwendolyn Jane Thomas | Licensed Practical Nurse | 139 Hayden Ave, Syracuse, NY 13204-1509 | 2020-09-17 |
1780200758 | Stacey R Green | Licensed Practical Nurse | 707 Meadowbrook Dr, Syracuse, NY 13210-3113 | 2020-06-24 |
1033743539 | Mindy Joy Cottrell | Licensed Practical Nurse | 515 Florida Rd, Syracuse, NY 13211-1220 | 2020-02-24 |
1205474772 | Mary Kresser | Licensed Practical Nurse | 214 Lafayette Rd, Syracuse, NY 13205-2921 | 2019-12-16 |
1528602166 | Rebecca Anne Snyder | Licensed Practical Nurse | 510 Greenwood Pl, Syracuse, NY 13210-2526 | 2019-11-06 |
1386286094 | Wendolyn Alicia White | Licensed Practical Nurse | 304 Martin Luther King W, Syracuse, NY 13205-1023 | 2019-10-14 |
1609423516 | Kortia Poole | Licensed Practical Nurse | 4574 Onondaga Blvd Apt 38, Syracuse, NY 13219-3308 | 2019-08-25 |
1649822826 | Tyrone Lamont Hunter | Licensed Practical Nurse | 620 Erie Blvd W Ste 620erie, Syracuse, NY 13204-2445 | 2019-07-09 |
1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
Find all providers in SYRACUSE |
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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.