CHRISTINA CHERYL CLARK (NPI# 1235798497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235798497 |
| Entity Type | Individual |
| Full Name | CHRISTINA CHERYL CLARK |
| Practice Address |
343 Fairview Dr Ste 101 Carson City NV 89701-5389 |
| Mailing Address |
4280 Mulligan Dr Carson City NV 89701-3546 |
| Practice Telephone | 7758875683 |
| Mailing Telephone | 7753155259 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154894988 | Christina Clark | Community Health Worker | 7028 Cobblestone Dr, Memphis, TN 38125-2612 | 2019-01-04 |
| 1427390350 | Christina D Clark | Technician, Other | 119 Lowenstein Ln, Cardington, OH 43315-9627 | 2013-03-18 |
| 1467762922 | Christina Michelle Clark | Dentist | 15310 Dawn Meadows Dr, Houston, TX 77068-3816 | 2010-10-18 |
| 1376710236 | Christina S Clark | Pharmacist | 2820 Keith Bridge Rd, Cumming, GA 30041-3935 | 2008-05-09 |
| 1003817081 | Christina Clark | Psychologist | 666 High St, Suite 200-d, Worthington, OH 43085-4135 | 2005-08-02 |
| 1386262830 | Christina Clark | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 | 2020-07-10 |
| 1013565498 | Christina Mae Clark | Physician Assistant | 25a June Street, Sanford, ME 04073 | 2019-08-29 |
| 1386206571 | Christina Clark | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-07-08 |
| 1639682081 | Christina M Clark | Behavior Technician | 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | 2017-11-08 |
| 1578013769 | Christina Clark | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2016-10-11 |
| Street Address |
343 FAIRVIEW DR STE 101 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89701-5389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114007101 | Medical Services of Nevada Inc | In Home Supportive Care | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2006-10-16 |
| 1578162418 | Elvira Toyos Moreno | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-10-21 |
| 1265031363 | Kira Padilla | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-10-20 |
| 1851999171 | Jonathan Crittenden | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-10-09 |
| 1265039929 | Jessica Natland | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-10-06 |
| 1639776396 | Lacretta Mullins | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-10-06 |
| 1861006074 | Theresa Abatie-kane | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-09-04 |
| 1669086088 | Hope Deloris Larson | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-09-02 |
| 1346853827 | Jana Wynn | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-08-25 |
| 1912510488 | Tiffany Vawter | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295398741 | Tammy Lea Ritter | Registered Nurse | 727 Fairview Dr, Suite A, Carson City, NV 89701 | 2019-04-19 |
| 1417445644 | Veatrice Marie Buckley | Chore Provider | 343 Fairview Dr., #101, Carson City, NV 89701 | 2018-04-24 |
| 1619417821 | Melhuish & Associates PC | Durable Medical Equipment & Medical Supplies | 2350 S Carson St, Ste 3, Carson City, NV 89701 | 2017-03-07 |
| 1942625579 | Kristi Lin Berg | Social Worker | 777 E William St Ste 102, Carson City, NV 89701 | 2014-02-18 |
| 1992141493 | Rumi Ota | Marriage & Family Therapist | 755 N Roop St Ste 101, Carson City, NV 89701 | 2013-05-11 |
| 1700127743 | Pauline Jenni King | Nurse Practitioner | 1206 S Carson St, Carson City, NV 89701 | 2013-03-14 |
| 1740524503 | Bodie Ward Coates | Counselor | 755 N. Roop St. #101, Carson City, NV 89701 | 2012-11-19 |
| 1699085407 | Jacque Michael Negrete | Social Worker | 777 E William St Ste 106, Carson City, NV 89701 | 2010-10-14 |
| 1295045102 | Mountain West Anesthesia | Nurse Anesthetist, Certified Registered | 1801 North Carson Street, Carson City, NV 89701 | 2010-10-13 |
| 1831342617 | Heal Therapy of Nevada | Social Worker | 405 N Roop St, Carson City, NV 89701 | 2008-10-24 |
| Find all providers in zip 89701 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797604 | Susan Moseley | Technician | 152 Empire Ln, Carson City, NV 89706-0734 | 2020-10-14 |
| 1730793993 | Nancy Jones | Technician | 1000 E William St Ste 120, Carson City, NV 89701-3116 | 2020-09-04 |
| 1952933079 | Ruben Omohundro | Technician | 2010 Sheffield Mnr W, Carson City, NV 89701-5316 | 2020-02-06 |
| 1497259469 | Amber Zsenyuk | Technician | 307 W Winnie Ln Ste 6, Carson City, NV 89703-2145 | 2018-03-22 |
| 1578162418 | Elvira Toyos Moreno | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-10-21 |
| 1265031363 | Kira Padilla | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-10-20 |
| 1851999171 | Jonathan Crittenden | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-10-09 |
| 1265039929 | Jessica Natland | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-10-06 |
| 1639776396 | Lacretta Mullins | Technician | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2020-10-06 |
| 1376159137 | Alberto Rios-ventura | Technician | 1000 E William St Ste 120, Carson City, NV 89701-3116 | 2020-09-17 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89701 |
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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.