MRS. MELANIE JO CLARK (NPI# 1114201795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114201795 |
| Entity Type | Individual |
| Full Name | MRS. MELANIE JO CLARK |
| Credential | MSN, APRN |
| Practice Address |
7926 Preston Highway Suite 106 Louisville KY 40219-3848 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5029644357 |
| Practice Fax Number | 5029665948 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006627 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
3006627 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732465 | Melanie A Clark | Psychiatry & Neurology | 930 Southern Ave, Kalamazoo, MI 49001-4337 | 2015-02-11 |
| 1912276320 | Melanie J. Clark | Speech-Language Pathologist | 1 Avondale Ave, North Hornell School, Hornell, NY 14843-1001 | 2011-12-14 |
| 1164692711 | Melanie Helene Clark | Radiology | 4354a Old Shell Rd # 324, Mobile, AL 36608-2011 | 2008-03-10 |
| 1376556621 | Melanie Clark | Counselor | 1904 Royal Ave, Monroe, LA 71201 | 2006-08-15 |
| 1376190595 | Melanie Clark | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2019-08-22 |
| 1841721511 | Melanie Patrice Clark | Counselor | 3730 Kirby Drive, Suite 904, Houston, TX 77098 | 2017-03-24 |
| 1952781403 | Melanie Clark | Day Training/Habilitation Specialist | 805 Se 151st Ave, Portland, OR 97233-2916 | 2015-05-30 |
| 1306272687 | Melanie C Clark | Nurse Practitioner | 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | 2013-09-19 |
| 1689015075 | Melanie Dawn Clark | Optometrist | 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 | 2013-07-12 |
| 1225386139 | Melanie R Clark | Counselor | 603 Main St, Ashton, IL 61006-9230 | 2012-08-27 |
| Street Address |
7926 PRESTON HIGHWAY SUITE 106 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902273345 | Linda Sue Potts | Nurse Practitioner | 7926 Preston Highway, Suite 106, Louisville, KY 40219-3848 | 2015-09-01 |
| 1932594348 | Brittany O'neal | Family Medicine | 7926 Preston Highway, Suite 106, Louisville, KY 40219-3848 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
Please comment or provide details below to improve the information on MRS. MELANIE JO 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.