DR. CARRIE ELLEN CLARK (NPI# 1164461703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164461703 |
| Entity Type | Individual |
| Full Name | DR. CARRIE ELLEN CLARK |
| Credential | D.C. |
| Practice Address |
3948 W 50th St Ste 203 Edina MN 55424-1210 |
| Mailing Address |
9744 Woodridge Dr Eden Prairie MN 55347-4249 |
| Practice Telephone | 9529204528 |
| Practice Fax Number | 9529274226 |
| Mailing Telephone | 6123827408 |
| Mailing Fax Number | 9529274226 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3928 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962730531 | Carrie Cecilia Clark | Speech-Language Pathologist | 5014 W Millbrook Dr, Columbia, MO 65203-5329 | 2009-11-19 |
| 1942445804 | Carrie Jean Clark | Emergency Medicine | 4401 S Wester, Oklahoma City, OK 73109 | 2008-12-08 |
| 1669947776 | Carrie Arrington Clark | Nurse Practitioner | 2405 Atherholt Rd, Lynchburg, VA 24501 | 2018-10-05 |
| 1154827236 | Carrie Ann Clark | Occupational Therapist | 99 Barclay St, Newtown, PA 18940-1593 | 2018-04-05 |
| 1285137588 | Carrie Ann Clark | Clinical Nurse Specialist | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2018-03-13 |
| 1013368133 | Carrie Clark | Physical Therapy Assistant | 586 Lone Tree Dr, Mt Pleasant, SC 29464-8170 | 2016-06-30 |
| 1568833945 | Carrie Clark | Community Health Worker | 401 S 23rd St, Worland, WY 82401-3725 | 2015-10-12 |
| 1295054138 | Carrie Leigh Clark | Physical Therapist | 7985 Knight Rd, Gainesville, GA 30506-6427 | 2010-05-17 |
| 1568787950 | Carrie Hoogerhyde Clark | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2010-03-29 |
| 1730401407 | Carrie Ann Clark | Pharmacist | 7600 S Highway 69a, Miami, OK 74354-1016 | 2010-02-23 |
| Street Address |
3948 W 50TH ST STE 203 |
| City | EDINA |
| State | MN |
| Zip Code | 55424-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706550 | Heidi M Brandenburg Dds Pa | Dentist | 3948 W 50th St, Ste 201, Edina, MN 55424-1210 | 2005-08-04 |
| 1871849927 | Heidi Marie Brandenburg | Dentist | 3948 W 50th St, Suite 201, Edina, MN 55424-1210 | 2012-07-26 |
| 1962613513 | Jo & Clark Chiropractic, P.a. | Chiropractor | 3948 W 50th St, Suite 203, Edina, MN 55424-1210 | 2007-05-25 |
| 1083789929 | Edina 5-o Dental Pa | Dentist | 3948 W 50th St, Suite 205, Edina, MN 55424 | 2006-11-22 |
| 1982775250 | Christoph Hans Noetzli | Acupuncturist | 3948 W 50th St, #203, Edina, MN 55424-1210 | 2006-11-10 |
| 1730105495 | 50th & France Chiropractic & Wellness Pllc | Chiropractor | 3948 W 50th St, Suite 203, Edina, MN 55424-1210 | 2006-07-14 |
| 1649219262 | Christopher Douglas Jo | Chiropractor | 3948 W 50th St, Ste 203, Edina, MN 55424-1210 | 2006-06-06 |
| 1972542553 | David Ross Patterson | Chiropractor | 3948 W 50th St, Ste 203, Edina, MN 55424-1210 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824084 | Jamie Bradley | Midwife | 6240 Peacedale Avenue, Edina, MN 55424 | 2018-03-16 |
| 1467987313 | Lisa Sorensen | Psychologist | 5200 Willson Road, #445, Edina, MN 55424 | 2017-04-28 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1396935219 | Michele Frances Dodds | Psychologist | 3948 West 50th St, #207, Edina, MN 55424 | 2007-07-26 |
| 1245452168 | Margo Ellen Arens | Physical Therapist | 6025 St. John's Ave., Edina, MN 55424 | 2007-05-02 |
| 1215095435 | Kristie J Anderson | Nurse Practitioner | 6905 York Ave S, Edina, MN 55424 | 2006-12-04 |
| 1821199852 | Michael T Kratz Dds Pa | Dentist | 3939 W 50th Street, #208, Edina, MN 55424 | 2006-09-25 |
| 1649747114 | Elizabeth Davin | Physician Assistant | 6905 York Ave S, Edina, MN 55424 | 2018-11-01 |
| 1245606326 | Forefront Dermatology, S.c. | Dermatology | 3916 W 50th St, Edina, MN 55424 | 2015-08-12 |
| 1316346950 | Brooke A Moss | Physician Assistant | 4100 W 50th St, Edina, MN 55424 | 2014-08-20 |
| Find all providers in zip 55424 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969206 | Beau Macmillan Bates | Chiropractor | 7400 Metro Blvd Ste 222, Edina, MN 55439-2321 | 2020-07-17 |
| 1942834734 | Gavin Bronson | Chiropractor | 5201 Eden Ave Ste 190, Edina, MN 55436-2368 | 2020-03-02 |
| 1750912291 | Jordan Shilts | Chiropractor | 4820 W 77th St Ste 150, Edina, MN 55435-4822 | 2020-02-03 |
| 1164916425 | Scott Eric Hawkins | Chiropractor | 7129 France Ave S, Edina, MN 55435-4304 | 2018-06-20 |
| 1992216295 | Vitality Life Chiropractic, LLC | Chiropractor | 7250 France Ave S, Ste 300a, Edina, MN 55435-4305 | 2017-10-13 |
| 1780112847 | Jessica Mae Boyles | Chiropractor | 7301 Ohms Ln Ste 430, Edina, MN 55439-2376 | 2017-06-01 |
| 1255798617 | Radiance Spine Injury & Wellness Center | Chiropractor | 7201 York Ave S Apt 1219, Edina, MN 55435-4447 | 2016-01-15 |
| 1912372772 | Sharon Williams Prahl | Chiropractor | 7600 Parklawn Ave Ste 349, Edina, MN 55435-5193 | 2015-12-04 |
| 1245616085 | Evan Natvig | Chiropractor | 6550 York Ave. S, Suite 303, Edina, MN 55435 | 2015-08-04 |
| 1144574880 | Christopher Bargmann | Chiropractor | 3925 W 50th St Ste 202, Edina, MN 55424-1247 | 2012-11-02 |
| Find all providers in EDINA | ||||
Please comment or provide details below to improve the information on DR. CARRIE ELLEN 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.