MRS. CHRISTINE A CLARK (NPI# 1144573783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144573783 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINE A CLARK |
| Credential | LPN |
| Practice Address |
11 Evelyn Ct Manorville NY 11949-2851 |
| Practice Telephone | 6318013188 |
| Mailing Telephone | 6318013188 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 180733 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531708 | Christine Mccarthy Clark | Dietitian, Registered | 1 W Foster St Ste 3, Melrose, MA 02176-3879 | 2020-03-02 |
| 1063963395 | Christine Michelle Clark | Counselor | 6321 Terra Rosa Cir, Boynton Beach, FL 33472-5144 | 2016-10-21 |
| 1932514288 | Christine M Clark | Psychiatry & Neurology | 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 | 2014-06-25 |
| 1538588900 | Christine Clark | Physical Therapist | 403 Bryant St, Stroudsburg, PA 18360-2303 | 2014-04-14 |
| 1104256734 | Christine Clark | Registered Nurse | 6 Mount Cook Ave, Farmingville, NY 11738-2023 | 2013-11-18 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1043495179 | Christine D Clark | Optometrist | 221 Woodland Ave, Bloomington, IL 61701-5659 | 2008-01-08 |
| 1548876097 | Christine Clark | Nurse Practitioner | 1440 Broadway, New York, NY 10018-2301 | 2020-09-21 |
| 1063046068 | Christine M Clark | Social Worker | 38 Southmont Dr, Tuscaloosa, AL 35405-4162 | 2020-02-28 |
| 1326690421 | Christine Marie Clark | Occupational Therapist | 4707 140th Ave N Ste 313, Clearwater, FL 33762-3841 | 2019-07-10 |
| Street Address |
11 EVELYN CT |
| City | MANORVILLE |
| State | NY |
| Zip Code | 11949-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992270946 | Bethesda Elite Care Inc | Home Health | 3 Surrey Lane, Manorville, NY 11949 | 2018-10-05 |
| 1922303072 | Samantha Ann Martino | Licensed Practical Nurse | 20 North Street, Manorville, NY 11949 | 2011-01-21 |
| 1336449453 | Eastport South Manor School District | Local Education Agency (LEA) | 543 Moriches Middle Island Rd, Manorville, NY 11949 | 2010-10-22 |
| 1134439599 | Lori M. Franchi | Social Worker | 543 Moriches Middle Island Road, Manorville, NY 11949 | 2010-10-19 |
| 1952556706 | Dawn Marie Munoz | Developmental Therapist | 53 Manorview Way, Manorville, NY 11949 | 2008-11-20 |
| 1770704504 | Ka Lun Benny Chan | Pharmacist | 8 Long Road, Manorville, NY 11949 | 2007-05-01 |
| 1245374560 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 226 Eastport Manor Road, Manorville, NY 11949 | 2007-02-19 |
| 1891865721 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 221 N. Sunrise Service Rd., Manorville, NY 11949 | 2006-11-08 |
| 1639107451 | Robert Galler | Neurological Surgery | 496 County Road 111, Building D, Manorville, NY 11949 | 2006-06-29 |
| 1679981401 | Elizabeth Ann Sanders | Physician Assistant | 496 County Road 111, Building B, Manorville, NY 11949 | 2014-07-24 |
| Find all providers in zip 11949 | ||||
| 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 |
|---|---|---|---|---|
| 1265046817 | Kathryn Angela Barile | Licensed Practical Nurse | 9 Frontier Trl, Manorville, NY 11949-2526 | 2020-09-01 |
| 1699386474 | Juliana Marissa Devito | Licensed Practical Nurse | 537 Wading River Rd, Manorville, NY 11949-3448 | 2020-08-13 |
| 1447876784 | Caroline Hennessy | Licensed Practical Nurse | 2 Bunker Ct, Manorville, NY 11949-2802 | 2020-06-23 |
| 1053803122 | Katherine Mccabe | Licensed Practical Nurse | 59 Cobbleridge Ln, Manorville, NY 11949-2522 | 2018-06-04 |
| 1215489349 | Alexandria Tuminaro | Licensed Practical Nurse | 112 Owls Nest Ct, Manorville, NY 11949-2619 | 2016-10-24 |
| 1497115844 | Stephanie Hayes | Licensed Practical Nurse | 23 Winding Path Apt 18, Manorville, NY 11949-2250 | 2016-02-27 |
| 1477910792 | Susan Anne Wallace | Licensed Practical Nurse | 44 Beechwood Dr, Manorville, NY 11949-2947 | 2016-01-16 |
| 1346657525 | Dawn Meyer | Licensed Practical Nurse | 5 Crest Hollow Ln, Manorville, NY 11949-3235 | 2014-07-19 |
| 1720401763 | Janice Fitzgibbon | Licensed Practical Nurse | 16 Evelyn Ct, Manorville, NY 11949-2808 | 2014-01-28 |
| 1255754206 | Heather Suzannw Allen-morabito | Licensed Practical Nurse | 6 Cristina Dr, Manorville, NY 11949-3206 | 2014-01-28 |
| Find all providers in MANORVILLE | ||||
| City | MANORVILLE |
| Zip Code | 11949 |
Please comment or provide details below to improve the information on MRS. CHRISTINE A 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.