MS. BONNIE B CLARK (NPI# 1154355204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154355204 |
Entity Type | Individual |
Full Name | MS. BONNIE B CLARK |
Credential | NP-C |
Practice Address |
1380 E Medical Center Dr Suite 1500 St George UT 84790-2123 |
Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
Practice Telephone | 4352512500 |
Practice Fax Number | 4352512525 |
Mailing Telephone | 4352512500 |
Mailing Fax Number | 4352512525 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2008-06-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1965614405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104173822 | Bonnie J Clark | Licensed Practical Nurse | 47 Caton Rd, Corning, NY 14830-3741 | 2012-08-13 |
1306134341 | Bonnie Kathleen Clark | Physical Therapist | 197 E Broadway St, Danville, IN 46122-1803 | 2011-07-12 |
1063563310 | Bonnie L Clark | Nurse Practitioner | 5 Silver Rdg, Veazie, ME 04401-7086 | 2007-01-15 |
1710074570 | Bonnie Lou Clark | Nurse Practitioner | 200 East Main Avenue, Suite 202, Bismarck, ND 58501 | 2006-10-05 |
1063989960 | Bonnie Clark | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2018-10-29 |
1831472133 | Bonnie Lou Clark | Nurse Practitioner | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2011-09-22 |
1306124540 | Bonnie Clark | Pharmacist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2011-07-21 |
1770700130 | Bonnie Clark | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2007-04-19 |
1376672428 | Bonnie Clark | Licensed Psychiatric Technician | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2007-03-05 |
1508899170 | Bonnie Clark | Physician Assistant | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2006-07-08 |
Street Address |
1380 E MEDICAL CENTER DR SUITE 1500 |
City | ST GEORGE |
State | UT |
Zip Code | 84790-2123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144216292 | Holly A Gore | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2005-09-23 |
1659971109 | Fran Vakalahi | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-10-26 |
1396352001 | Conni Elms | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-09-26 |
1659996304 | Ian Andrus | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-06-09 |
1588287320 | Paul Siddoway Cochran | Nurse Practitioner | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-05-27 |
1083235618 | Don Benjamin Wilson | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-05-05 |
1427680651 | Kimberly Hull | Dietitian, Registered | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-02-05 |
1255971198 | Pathology Services Inc | Pathology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-01-08 |
1356988604 | Gregory Seth Orton | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-12-05 |
1326683897 | Amelia E Ence | Occupational Therapist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-11-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
Find all providers in zip 84790 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801393236 | William C Caplin | Nurse Practitioner | 1449 N 1400 W Ste 19, St George, UT 84770-5237 | 2018-04-11 |
1194266148 | Shanna Foote | Nurse Practitioner | 3197 S 2950 E, St George, UT 84790-5134 | 2017-03-10 |
1518418623 | Erica Nichole Olson | Nurse Practitioner | 1380 E Medical Center Dr Ste 2200, St George, UT 84790-2130 | 2016-10-24 |
1578504502 | Cynthia Mcalhany Mcclure | Nurse Practitioner | 109 Dukes St, St George, SC 29477 | 2006-06-09 |
1710937826 | Kristine R Carter | Nurse Practitioner | 1739 West Sunset Blvd, St George, UT 84770-1885 | 2006-05-11 |
1861488900 | Jana M Leany | Nurse Practitioner | 1380 E Medical Center Drive, St George, UT 84790 | 2005-09-23 |
1013916915 | Brookanne J Mickelson | Nurse Practitioner | 652 S Medical Center Dr, Ste 110, St George, UT 84790-7049 | 2005-07-21 |
1982202446 | Alana Jeanne Bradbury | Nurse Practitioner | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2020-10-15 |
1639704471 | Marissa Larson Hughes | Nurse Practitioner | 1380 E Medical Center Dr Ste 4100, St George, UT 84790-2156 | 2020-03-11 |
1629619531 | Lisa Kogan | Nurse Practitioner | 720 S River Rd Ste C240, St George, UT 84790-2103 | 2019-10-02 |
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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.