CAROLYN CLARK (NPI# 1124429857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124429857 |
| Entity Type | Individual |
| Full Name | CAROLYN CLARK |
| Credential | AC-CRNP-PMH |
| Practice Address |
6010 Hidden Valley Rd Ste 115 Carlsbad CA 92011-4219 |
| Mailing Address |
2883 Demler Dr Escondido CA 92029-4815 |
| Practice Telephone | 7607978494 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP95013648 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AC001401 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679915664 | Carolyn Gay Clark | Nurse Practitioner | 1232 Branson Hills Pkwy Ste 106, Branson, MO 65616-4189 | 2013-07-19 |
| 1932489184 | Carolyn Kennedy Clark | Acupuncturist | 813 Ormond Ct, San Diego, CA 92109-7370 | 2011-08-19 |
| 1396061255 | Carolyn A Clark | Social Worker | 150 California Dr, Yountville, CA 94599-1411 | 2010-04-15 |
| 1235274242 | Carolyn E. Clark | Obstetrics & Gynecology | 1124 19th St, Huntington, WV 25701-3904 | 2007-02-20 |
| 1962416172 | Carolyn R Clark | Optometrist | 800 Sw Alder St, Portland, OR 97205-3107 | 2006-07-27 |
| 1316933567 | Carolyn B Clark | Nurse Practitioner | 1217 S East Ave Ste 104, Sarasota, FL 34239-2350 | 2005-09-23 |
| 1003434069 | Carolyn Teresa Clark | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-07-07 |
| 1215568118 | Carolyn Clark | Social Worker | 60 O St Nw, Washington, DC 20001-1259 | 2020-01-29 |
| 1184108300 | Carolyn Clark | Social Worker | 4150 Earhart Blvd, New Orleans, LA 70125-1955 | 2018-09-24 |
| 1336536036 | Carolyn Chen Clark | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-2742 | 2015-04-20 |
| Street Address |
6010 HIDDEN VALLEY RD STE 115 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92011-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134691488 | Anne Meyers French | Nurse Practitioner | 6735 Palermi Place, Carlsbad, CA 92011 | 2018-12-27 |
| 1457876401 | Danika Enid Miranda | Behavioral Analyst | 2441 Palomar Airport Road #350, Carlsbad, CA 92011 | 2017-08-11 |
| 1902299472 | Jessica Tn Truong | Dentist | 520 Stern Way, Carlsbad, CA 92011 | 2015-03-09 |
| 1902140734 | Hygeia II Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6241 Yarrow Dr, Suite A, Carlsbad, CA 92011 | 2012-11-16 |
| 1063522548 | Dawn Anderson | Physical Therapist | 6070 Avenida Encinas, Carlsbad, CA 92011 | 2006-08-30 |
| 1962512566 | Costco Wholesale Corporation | Pharmacy | 951 Palomar Airport Rd, Carlsbad, CA 92011 | 2006-08-30 |
| 1003860537 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011 | 2006-05-20 |
| 1932176898 | Garrett J Tallman | Orthopaedic Surgery | 6125 Paseo Del Norte Ste 110, Carlsbad, CA 92011 | 2006-02-28 |
| 1821096157 | Paul Eric Dicesare | Orthopaedic Surgery | 1544 Weatherly Road, Carlsbad, CA 92011 | 2005-07-11 |
| 1699277897 | Priscilla Marie San Vicente | Technician, Other | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011 | 2018-03-03 |
| Find all providers in zip 92011 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619480381 | Sophia Lawrence | Nurse Practitioner | 1622 Filaree Ct, Carlsbad, CA 92011-5020 | 2017-11-15 |
| 1356484448 | Ronald Jay Haugen | Nurse Practitioner | 207 W Mckay St, Suite A, Carlsbad, NM 88220-5835 | 2007-02-15 |
| 1700427531 | Laurie Anne Costa | Nurse Practitioner | 2382 Faraday Ave Ste 100, Carlsbad, CA 92008-7219 | 2019-10-02 |
| 1720549587 | Michelle Aragon | Nurse Practitioner | 914 N Canal St, Carlsbad, NM 88220-5110 | 2019-03-26 |
| 1629314844 | Synergy Behavioral Health, P. C. | Nurse Practitioner | 207 W Mckay St, Carlsbad, NM 88220-5835 | 2012-12-15 |
| 1043460306 | Emaka Takashima | Nurse Practitioner | 5838 Edison Pl Ste 100, Carlsbad, CA 92008-5520 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| 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.