BRANDI CLARK (NPI# 1154780021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154780021 |
| Entity Type | Individual |
| Full Name | BRANDI CLARK |
| Credential | LPN |
| Practice Address |
3086 State Route 160 Gallipolis OH 45631-8409 |
| Practice Telephone | 7404465500 |
| Practice Fax Number | 7404464951 |
| Mailing Telephone | 7404465500 |
| Mailing Fax Number | 7404464951 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.124270-M-IV | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0200820 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124516182 | Brandi Clark | Behavior Technician | 107 Industrial Dr Ste E, Saint Marys, GA 31558-4436 | 2018-04-25 |
| 1871028274 | Brandi Nicole Clark | Pediatrics | 4900 Mueller Blvd, Suite 3s.066c, Austin, TX 78723-3079 | 2017-04-24 |
| 1558790485 | Brandi Love Clark | Nurse Practitioner | 12502 Willowbrook Rd, Suite 300, Cumberland, MD 21502-6491 | 2013-11-01 |
| 1649614488 | Brandi L. Clark | Community/Behavioral Health | 2205 Spanish Town Ave, North Las Vegas, NV 89031-0903 | 2013-04-23 |
| 1215283569 | Brandi Clark | Home Health Aide | 605 Stanley Ave, Columbus, OH 43206-2418 | 2012-07-24 |
| 1447574389 | Brandi J Clark | Speech-Language Pathologist | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2010-03-22 |
| 1306075502 | Brandi Carroll Clark | Pharmacist | 1081 Ga Highway 96, Warner Robins, GA 31088-2507 | 2009-07-08 |
| Street Address |
3086 STATE ROUTE 160 |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 45631-8409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508838582 | Woodland Centers Inc | Counselor | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2006-02-03 |
| 1447862149 | Chelsea R Wallen | Psychologist | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2020-08-24 |
| 1295345957 | Joseph T Tucciarone Jr. | Psychologist | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2020-08-06 |
| 1164055992 | John Michael Obrien | Counselor | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2020-02-20 |
| 1811527286 | Jonae Apps | Behavioral Analyst | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2020-01-24 |
| 1972147296 | Vincent Dombrow | Behavioral Analyst | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2019-10-30 |
| 1831745223 | Clinton M Nowicke | Psychologist | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2019-08-13 |
| 1912553314 | Kayla J Jarred | Psychologist | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2019-08-13 |
| 1053967448 | Cathy Murphy | Behavioral Analyst | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2019-08-13 |
| 1578120101 | Kayla R. Mollohan | Social Worker | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2019-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178703 | Nathaniel D Chapman | Specialist/Technologist | 4th Avenue and Sycamore State, Gallipolis, OH 45631 | 2019-01-15 |
| 1013499029 | Spencer Kissel | Nurse Practitioner | 1284 State Route 160, Gallipolis, OH 45631 | 2018-09-06 |
| 1164940078 | Spring Valley Family Pharmacy LLC | Pharmacy | 448 Jackson Pike Road, Gallipolis, OH 45631 | 2017-08-31 |
| 1831619832 | Crystal N Rankin | Registered Nurse | 471 Paxton Rd, Gallipolis, OH 45631 | 2017-06-21 |
| 1962869685 | Edward Mussi Jr. | Specialist/Technologist | 1051 4th Ave, Gallipolis, OH 45631 | 2016-01-26 |
| 1861822181 | Arbors At Gallipolis | Nursing Facility/Intermediate Care Facility | 170 Pinecrest Drive, Gallipolis, OH 45631 | 2013-11-22 |
| 1619237039 | Mark W. Hasseman | Massage Therapist | 21 Central Avenue, Suite C, Gallipolis, OH 45631 | 2012-05-18 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1467759456 | Allen Keith Sheets | Dentist | 722 Second Avenue, Gallipolis, OH 45631 | 2011-02-28 |
| 1144398074 | Richard Bowers Simpson | Family Medicine | 49 Ohio Ave, Gallipolis, OH 45631 | 2006-11-30 |
| Find all providers in zip 45631 | ||||
| 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 |
|---|---|---|---|---|
| 1558514323 | Crystal Lynn Writesel | Licensed Practical Nurse | 1491 Polecat Rd, Gallipolis, OH 45631-8627 | 2008-10-24 |
| 1790978906 | Julie Ann Miller | Licensed Practical Nurse | 821 Neighborhood Rd, Gallipolis, OH 45631-8709 | 2007-08-21 |
| 1912119439 | Mary M Neal | Licensed Practical Nurse | 5091 State Route 7 S, Gallipolis, OH 45631-8923 | 2007-05-04 |
| 1679694145 | Tonya Lynn Clark | Licensed Practical Nurse | 32 Klicher Rd, Gallipolis, OH 45631-8893 | 2007-04-03 |
| 1427503127 | Hannah Williams | Licensed Practical Nurse | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2016-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841277 | Deja Shepard | Licensed Practical Nurse | 725 Hand Ave, Cincinnati, OH 45232-1736 | 2020-11-06 |
| 1932700309 | Heather Mershon | Licensed Practical Nurse | 1535 E Hickory Grove Rd, Urbana, OH 43078-9475 | 2020-11-03 |
| 1831799774 | Kristina Maria Sorbilli | Licensed Practical Nurse | 709 N Cable Rd Ste A, Lima, OH 45805-1737 | 2020-10-29 |
| 1659971745 | Christina Johanna Ambrose | Licensed Practical Nurse | 3779 Huntmere Ave, Austintown, OH 44515-3144 | 2020-10-28 |
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1205434982 | Elizabeth M Njuangang | Licensed Practical Nurse | 17603 Whitney Rd Apt 108, Strongsville, OH 44136-2447 | 2020-10-14 |
| 1023616117 | Verenda Deon Evans | Licensed Practical Nurse | 180 Brush Rd, Richmond Hts, OH 44143-1128 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | GALLIPOLIS |
| Zip Code | 45631 |
Please comment or provide details below to improve the information on BRANDI 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.