SHARON V CLARK (NPI# 1265453948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265453948 |
| Entity Type | Individual |
| Full Name | SHARON V CLARK |
| Credential | LAT |
| Practice Address |
621 Science Dr Madison WI 53711-1074 |
| Mailing Address |
5910 Driftwood Ave Madison WI 53705-4418 |
| Practice Telephone | 6082634765 |
| Mailing Telephone | 6082316764 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
153-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | ATHLETIC TRAINER | 153-039 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831627512 | Sharon Clark | Registered Nurse | 33 Wren Ln, Lexington, VA 24450-5831 | 2017-05-25 |
| 1174970867 | Sharon Clark | Counselor | 5266 John Wilson Dr, Bossier City, LA 71111-6200 | 2016-05-23 |
| 1619388469 | Sharon Clark | Contractor | 1115 Cove Bridge Rd, 101, Raleigh, NC 27604-8716 | 2014-05-14 |
| 1942567391 | Sharon L Clark | Physical Therapy Assistant | 5537 Sleet Dr, Indianapolis, IN 46237-2331 | 2012-04-23 |
| 1194914192 | Sharon E Clark | Registered Nurse | 1 Baker Pl, Keyser, WV 26726-2824 | 2007-10-16 |
| 1841401759 | Sharon Sandquist Clark | Pharmacist | 1851 Empire Blvd, Webster, NY 14580-2109 | 2007-05-24 |
| 1457571192 | Sharon Ellen Clark | Preventive Medicine | 2500 Lou Menk Dr, Ft Worth, TX 76131-2828 | 2007-04-26 |
| 1487776811 | Sharon R Clark | Specialist | 1009 E Dimond Blvd, Anchorage, AK 99515-2009 | 2007-04-05 |
| 1700900800 | Sharon Ann Clark | Specialist | 50 South San Mateo Drive, Ste. 105, San Mateo, CA 94401 | 2007-03-16 |
| 1427109628 | Sharon Sammons Clark | Dietitian, Registered | 8006 Senedo Rd, Mount Jackson, VA 22842-2232 | 2007-01-15 |
| Street Address |
621 SCIENCE DR |
| City | MADISON |
| State | WI |
| Zip Code | 53711-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992886 | Tamara A Scerpella | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2005-06-16 |
| 1578111365 | Laura Muller | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2019-08-27 |
| 1538720701 | Kayla M Sukup | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2019-06-27 |
| 1851954960 | Steven M Gloe | Massage Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2019-04-16 |
| 1962996033 | Keith Alan Knurr | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2018-06-21 |
| 1962931212 | Melissa A Ball | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2017-06-09 |
| 1073041786 | Jamie Tasco | Specialist/Technologist | 621 Science Dr, Madison, WI 53711-1074 | 2017-05-24 |
| 1083141220 | Cassie Lynn Raduka | Physical Therapist | 621 Science Dr, Madison, WI 53711-1074 | 2017-05-18 |
| 1972954667 | Corey Block | Physical Therapist | 621 Science Dr, Mail Stop 9150, Madison, WI 53711-1074 | 2016-06-24 |
| 1588015408 | Lauren Nicole Erickson | Physical Therapist | 621 Science Dr, Mail Stop 9150, Madison, WI 53711-1074 | 2016-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578196580 | Jerod Keene | Specialist/Technologist | 333 E Campus Mall # 5140, Madison, WI 53715-1365 | 2020-02-18 |
| 1497396428 | Austin Drake | Specialist/Technologist | 201 Planters Cv, Madison, MS 39110-7988 | 2019-10-01 |
| 1407400112 | Zafir Georges-abeyie | Specialist/Technologist | 1920 Kendall Ave Apt 2, Madison, WI 53726-4008 | 2019-07-31 |
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1710451927 | Patrick Louis Johnson | Specialist/Technologist | 103 Lynbrook Blvd, Madison, AL 35758-8137 | 2019-01-22 |
| 1518430735 | Jennifer Cecil | Specialist/Technologist | 126 Spring Water Dr, Madison, AL 35758-1391 | 2019-01-10 |
| 1073086336 | John M Spillman | Specialist/Technologist | 1913 Neelys Bend Rd, Madison, TN 37115-5811 | 2019-01-09 |
| 1932677309 | Garrett Hansen | Specialist/Technologist | 402 Northbay Dr, Madison, MS 39110-8859 | 2018-11-05 |
| 1891284303 | Lisbeth Smith | Specialist/Technologist | 920 Spring St, Madison, WI 53715-3603 | 2018-05-09 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on SHARON V 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.