VANESSA CLARK (NPI# 1225588171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225588171 |
Entity Type | Individual |
Full Name | VANESSA CLARK |
Credential | PA-C, RD |
Practice Address |
2511 Old Cornwallis Rd Suite 200 Durham NC 27713-1869 |
Mailing Address |
686 Fox Pond Dr Mount Pleasant SC 29464-4850 |
Practice Telephone | 9199325700 |
Mailing Telephone | 8439014563 |
Enumeration Date | 2016-10-04 |
Last Update Date | 2016-10-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-06800 | NC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295347714 | Vanessa Clark | Homemaker | 8305 Bottom Woods Cir Apt 102, Tampa, FL 33637-5082 | 2020-08-17 |
1336656271 | Vanessa Clark | Social Worker | 76605 Gallatin Rd, Gallatin Gateway, MT 59730-8711 | 2018-01-01 |
1265868368 | Vanessa Young Clark | Physical Therapist | 12047 Lake Estates Ave, Baton Rouge, LA 70810-7323 | 2013-09-20 |
1649516949 | Vanessa Clark | Registered Nurse | 3794 E 147th St, Cleveland, OH 44128-1025 | 2012-12-14 |
1306492699 | Vanessa Ann Clark | Chore Provider | 343 Fairview Dr, Carson City, NV 89701-5798 | 2019-08-13 |
1881169860 | Vanessa Clark | Counselor | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2018-10-05 |
1154873818 | Vanessa Clark I | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-10-28 |
1003363946 | Vanessa Clark | Pharmacist | 1308 S Harris St, Sandersville, GA 31082-6913 | 2016-09-08 |
Street Address |
2511 OLD CORNWALLIS RD SUITE 200 |
City | DURHAM |
State | NC |
Zip Code | 27713-1869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417959560 | Shohreh Taavoni | Internal Medicine | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2005-08-10 |
1225637721 | Alexandria Wilson | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-10-26 |
1083223879 | Stanisha Natrice Williams | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-07-28 |
1306463898 | Susanna Gentry | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-06-30 |
1356977623 | Catelyn Vanauken Inman | Registered Nurse | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-03-19 |
1760033856 | Corinna Ter-antonyan | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-09-20 |
1952950859 | Megan D Long | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-09-04 |
1912560277 | Sharee Knox | Physician Assistant | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-04-22 |
1245792654 | Rebecca Waters | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-04-03 |
1932664448 | Elizabeth Jordan Barnes | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-02-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
Find all providers in zip 27713 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083197651 | Erika Cummings | Physician Assistant | 40 Medicine Circle Clinic 1l Duke South Clinic Bldg, Durham, NC 27710-2102 | 2018-09-10 |
1396237566 | Sarah Elizabeth Beatty | Physician Assistant | 1317 Southpoint Crossing Dr, Durham, NC 27713 | 2018-06-04 |
1225548704 | Lindsey Anna Rowe | Physician Assistant | 2301 Erwin Road Duke North Suite 2600, Room 2607a, Durham, NC 27710-0001 | 2017-10-10 |
1801316831 | Stefanie Nikoloas Xenakis | Physician Assistant | 2400 Broad St Ste 1, Durham, NC 27704-2662 | 2017-06-21 |
1861842700 | Kelly Michelle Young | Physician Assistant | 2424 Erwin Rd Ste 201, Durham, NC 27705-3825 | 2016-06-21 |
1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
1033589577 | Andrew David Mcgraw | Physician Assistant | Duke University Medical Center Emergency, 2nd Floor 2301 Erwin Road Durham, Nc 27710, Durham, NC 27710-4699 | 2015-09-27 |
1093145443 | Catherine Casey Mcknight | Physician Assistant | 3458 Duke University Medical Center, Durham, NC 27710 | 2013-11-21 |
1013343490 | Carolyn Chyu Tashie | Physician Assistant | Duke Cancer Center 20 Duke Medicine Circle Clinic 3-2, Durham, NC 27710-4699 | 2013-09-18 |
1477817203 | Andrew Robert Macknair | Physician Assistant | 4225 Larchmont Rd, Apt 1021, Durham, NC 27707-5962 | 2012-06-26 |
Find all providers in DURHAM |
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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.