CLARK NURSING LLC (NPI# 1225667462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225667462 |
| Entity Type | Organization |
| Organization Name | CLARK NURSING LLC |
| Practice Address |
30818 412th Dr. N.e. Arlington WA 98223 |
| Mailing Address |
524 N Olympic Ave Unit 393 Arlington WA 98223-0616 |
| Practice Telephone | 3606310550 |
| Practice Fax Number | 8448028518 |
| Mailing Telephone | 3606310550 |
| Mailing Fax Number | 8448028518 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | DENISE LORRAYNE CLARK (REGISTERED NURSE DELEGATOR) |
| Authorized Official Telephone | 3606310550 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | Nursing Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CLARK NURSING LLC | 30818 412th Dr Ne, Arlington, WA 98223-0393 |
| Street Address |
30818 412TH DR. N.E. |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| 1316340565 | Rediclinic of Wa, LLC | Clinic/Center | 17226 Smokey Point, Arlington, WA 98223 | 2014-10-02 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1356942122 | Yuko Imai Thayer | Registered Nurse | 2000 E Lamar Blvd Ste 250, Arlington, TX 76006-7358 | 2020-11-06 |
| 1942808795 | Sammie Beatrice Kelly | Registered Nurse | 5700 Mobile Ave Apt 1224, Arlington, TX 76017-0573 | 2020-10-14 |
| 1053923706 | Yeo Lim Kim | Registered Nurse | 816 N Oakland St, Unit 704, Arlington, VA 22203 | 2020-08-22 |
| 1003428855 | Kassandra Guadalupe Becerra | Registered Nurse | 600 Mcqueary St, Arlington, TX 76012-3751 | 2020-08-21 |
| 1528686417 | Augustina Ogechi Anyim | Registered Nurse | 6810 Shore Breeze Ct, Arlington, TX 76016-4251 | 2020-07-08 |
| 1649898537 | Kayleigh Page | Registered Nurse | 709 Trinity Cir Apt 1009, Arlington, TX 76006-2110 | 2020-07-08 |
| 1831716869 | Sarah Thompson Pittman | Registered Nurse | 3505 Timberwood Cir Apt 1157, Arlington, TX 76015-3372 | 2020-06-25 |
| 1679199061 | Onorine Aboh Mbah | Registered Nurse | 6422 Seaford Rd, Arlington, TX 76001-7911 | 2020-06-22 |
| 1285259184 | Caitlin Julia Guiney | Registered Nurse | 25 Water St Apt 4, Arlington, MA 02474-4812 | 2020-06-16 |
| 1922622612 | Desiree Flores | Registered Nurse | 755 Taft Dr Apt 12c, Arlington, TX 76011-0822 | 2020-05-29 |
| Find all providers in ARLINGTON | ||||
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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.