KIMBERLY ANNE CLARK (NPI# 1144368226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144368226 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNE CLARK |
| Credential | PA-C |
| Practice Address |
6900 Georgia Ave Nw Wramc Dept of Neurosurgery Washington DC 20307-0003 |
| Mailing Address |
4811 Chevy Chase Dr Chevy Chase MD 20815-6409 |
| Practice Telephone | 2027826611 |
| Practice Fax Number | 2027822295 |
| Mailing Telephone | 2027829806 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
009342-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902362452 | Kimberly Michelle Clark | Technician, Other | 2819 Se Brodiaea Ct, Hillsboro, OR 97123-5201 | 2019-02-20 |
| 1780037994 | Kimberly Clark | Nurse Practitioner | 11251 Westwood Ave, Denham Springs, LA 70726-6947 | 2016-07-22 |
| 1053651869 | Kimberly Gail Clark | Hearing Instrument Specialist | 401 Apperson Dr, Salem, VA 24153-7026 | 2013-02-15 |
| 1952660524 | Kimberly Jo Clark | Licensed Practical Nurse | 334 Elmwood Ave, Barberton, OH 44203-1153 | 2012-05-16 |
| 1336421999 | Kimberly D Clark | Speech-Language Pathologist | 1524 Lexington Road, Clovis, NM 88101-6846 | 2011-09-09 |
| 1376878595 | Kimberly Clark | Physical Therapist | 101 S Kraemer Blvd Ste 125, Placentia, CA 92870-6100 | 2009-10-06 |
| 1609050913 | Kimberly Irene Clark | Counselor | 3077 Coolidge Ave, Costa Mesa, CA 92626-2809 | 2007-12-21 |
| 1053591875 | Kimberly Ann Clark | Counselor | 1516 S Boston Ave, Suite 100, Tulsa, OK 74119-4003 | 2007-11-08 |
| 1841400868 | Kimberly Clark | Social Worker | 4350 Woodland Ave, Jackson, MS 39206-3955 | 2007-05-22 |
| 1902900293 | Kimberly A Clark | Physical Therapist | 614 Monkton Rd, Bristol, VT 05443-5392 | 2006-09-08 |
| Street Address |
6900 GEORGIA AVE NW WRAMC DEPT OF NEUROSURGERY |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20307-0003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991951 | Mark Jason Roschewski | Internal Medicine | 6900 Georgia Ave Nw, Walter Reed Army Med Center, Washington, DC 20307 | 2005-09-06 |
| 1215223060 | Catherine Joanne Ennis | Physical Therapist | 6900 Georgia Ave Nw, Bldg 2, Rm 3j, Washington, DC 20307-0003 | 2011-06-21 |
| 1639462831 | Monique Rashon Carter | Pharmacist | 6900 Georgia Ave Nw, Washington, DC 20307-0003 | 2011-05-20 |
| 1588957732 | Moon J Kim | Physical Medicine & Rehabilitation | 6900 Georgia Ave Nw, Dept of Physical Medicine (3j), Washington, DC 20307-0003 | 2011-05-20 |
| 1558650069 | Young Ja Lee | Pharmacist | 6900 Georgia Ave Nw, Washington, DC 20307-0003 | 2011-04-05 |
| 1992094882 | Jing Shao | Pharmacist | 6900 Georgia Ave Nw, Washington, DC 20307-0003 | 2011-03-31 |
| 1538458476 | Walter Reed Army Medical Center | Military Hospital | 6900 Georgia Ave Nw, Washington, DC 20307-0003 | 2011-03-31 |
| 1669771937 | Tracy L. Floyd | Occupational Therapist | 6900 Georgia Ave Nw, Abrams Hall Room 3041a, Washington, DC 20307-0003 | 2011-03-25 |
| 1881993293 | Annemarie Orr | Occupational Therapist | 6900 Georgia Ave Nw, Washington, DC 20307-5001 | 2011-03-24 |
| 1972801363 | Kristin Gwin | Social Worker | 6900 Georgia Ave Nw, Heaton Pavillion, Ward 53, Washington, DC 20307-0003 | 2011-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760659395 | Mohammad Akbar Hashemi | Physician Assistant | 6900 Gerogia Ave Nw Washington, Distric of Columbia, DC 20307 | 2008-05-13 |
| 1457557118 | Aaric Queen | Anesthesiology | Wramc, Bldg 2, 2j38, 6900 Georgia Ave, Nw, Washington, DC 20307 | 2007-06-21 |
| 1285838193 | Daryl L Griffin | Anesthesiology | 6900 Nw Georgia Ave, Washington Dc, DC 20307 | 2007-06-13 |
| 1790999183 | Brendan Thomas Doherty | Radiology | Department of Radiology,walter Reed Army Medical Center, 6900 Georgia Ave, Nw, Washington, DC 20307 | 2007-05-09 |
| 1598983348 | Timothy Paul Brown | Psychiatry & Neurology | Walter Reed Army Medical Center, Dept of Psychiatry, 6900 Georgia Ave Nw, Bldg. 6, Borden Pavilion, Washington, DISTRICT OF COLUMBIA 20307 | 2007-04-24 |
| 1912049008 | Mark Vincent Farinas | Occupational Therapist | Walter Reed Army Medical Ctr, Dept of Pediatrics, 6900 Georgia Avenue, Washington, DC 20307 | 2007-02-13 |
| 1497841076 | Kathleen Uhl | Family Medicine | Walter Reed Army Hospital, 6900 Georgia Ave., Washington, DC 20307 | 2006-10-04 |
| 1760581565 | Scott M Croll | Anesthesiology | Wramc, Bld 2 Wd 44 Anesthesia, 6900 Georgia Ave, Washington, DC 20307 | 2006-09-21 |
| 1295719359 | Steven Arnold Taylor | Dentist | Wramc Dept of Oral Surgery, 6900 Georgia Ave Nw, Washington, DC 20307 | 2005-12-02 |
| 1730499005 | Taesoon Lee | Military Hospital | 6900 Georgia Ave., Washington D.c, DC 20307 | 2010-10-20 |
| Find all providers in zip 20307 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811391022 | Shannon Rasmussen Duescher | Physician Assistant | 3800 Reservoir Rd Nw # 7phc, Washington, DC 20007-2113 | 2014-10-17 |
| 1356623961 | Denise Nanette Blackbourne | Physician Assistant | 106 Irving St Nw Ste 206, Washington, DC 20010-2993 | 2011-09-09 |
| 1114056421 | Kevin Joseph Dubree | Physician Assistant | 110 Irving St, Nw, Unit 1f, Room 1218, Washington, DC 20010-2927 | 2007-03-04 |
| 1225139686 | Kimberly Lynn Seablom | Physician Assistant | 6209 Nebraska Ave Nw, Washington, DC 20015-1144 | 2006-09-26 |
| 1548232887 | David Barry Jennette | Physician Assistant | 1775 Eye St Nw, Suite 1150, Washington, DC 20006-2402 | 2006-02-02 |
| 1699301853 | Monica Vu | Physician Assistant | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-03-19 |
| 1659843803 | Kalley Rae Veit | Physician Assistant | 3800 Reservoir Rd Nw, 1 Gorman, Washington, DC 20007 | 2018-12-28 |
| 1760961494 | Katie Ann Leemaster | Physician Assistant | 2440 M St Nw Ste 200, Washington, DC 20037-1449 | 2018-08-13 |
| 1851885313 | Samantha Brooke Bickar | Physician Assistant | 900 23rd St Nw, Washington, DC 20037-2342 | 2018-06-19 |
| 1265921605 | Meredith Patricia Miles | Physician Assistant | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2018-05-01 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20307 |
Please comment or provide details below to improve the information on KIMBERLY ANNE 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.