DR. AMY JO CLARK (NPI# 1265969356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265969356 |
| Entity Type | Individual |
| Full Name | DR. AMY JO CLARK |
| Credential | APNP |
| Practice Address |
950 Woodlake Rd Kohler WI 53044-1348 |
| Mailing Address |
407 Grant Ave Sheboygan WI 53081-2857 |
| Practice Telephone | 9207833150 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 161099-30 | WI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7806-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640085 | Amy Clark | Nurse Practitioner | 1641 Highway 19e Byp, Elizabethton, TN 37643-4646 | 2014-05-01 |
| 1386988194 | Amy J. Clark | Registered Nurse | 731 18th Ave, San Francisco, CA 94121-3824 | 2012-11-16 |
| 1104121318 | Amy Beth Clark | Nurse Practitioner | 5197 Georgetown Rd, Franklin, PA 16323-4807 | 2011-01-19 |
| 1568766756 | Amy Sue Clark | Speech-Language Pathologist | 6 Erica Ct, Pueblo, CO 81001-1074 | 2011-01-02 |
| 1124328570 | Amy Leigh Clark | Social Worker | 1950 Trenton St, #412, Denver, CO 80220-2064 | 2010-11-01 |
| 1437461191 | Amy J Clark | Speech-Language Pathologist | 3609 Western Ave, Mattoon, IL 61938-2040 | 2010-07-10 |
| 1215257498 | Amy Clark | Occupational Therapy Assistant | 2770 Juniper Dr, Batesville, AR 72501-7801 | 2010-06-10 |
| 1881818656 | Amy Elizabeth Clark | Speech-Language Pathologist | 1027 Hiland St, Monticello, KY 42633-1370 | 2007-04-12 |
| 1023188018 | Amy Clark | Physical Therapist | 9381 East Stockton Blvd, Ste 108, Elk Grove, CA 95624 | 2006-11-08 |
| 1134236631 | Amy Clark | Physical Therapist | 506 Ne State Route 291, Lees Summit, MO 64086-2533 | 2006-08-23 |
| Street Address |
950 WOODLAKE RD |
| City | KOHLER |
| State | WI |
| Zip Code | 53044-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245296425 | Cheryl A Paul | Physician Assistant | 950 Woodlake Rd, Kohler, WI 53044 | 2006-04-25 |
| 1407480866 | Kristi Amber Hasenstein | Nurse Practitioner | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2020-02-25 |
| 1356800445 | Jonathan D Shuit | Nurse Practitioner | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2019-03-18 |
| 1407346422 | Lauren Barber | Registered Nurse | 950 Woodlake Rd, Kohler, WI 53044 | 2018-05-15 |
| 1780105478 | Trevor M. Mcculley | Physical Therapist | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2017-07-03 |
| 1841735826 | St. Nicholas Hospital-sisters of The Third Order of St. Francis | Durable Medical Equipment & Medical Supplies | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2016-12-29 |
| 1407202831 | St. Nicholas Hospital-sisters of The Third Order of St. Francis | Family Medicine | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2016-05-04 |
| 1225400500 | Theresa Krueger-junk | Nurse Practitioner | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2015-10-26 |
| 1861893133 | Alicia St Peter | Registered Nurse | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2014-09-05 |
| 1063839447 | Katie Gesch | Family Medicine | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699796672 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 765 Woodlake Rd Ste G, Kohler, WI 53044 | 2006-07-22 |
| 1295000255 | Ilsa Bick | Psychiatry & Neurology | 1099 Highland Dr, Kohler, WI 53044-1306 | 2012-03-09 |
| 1184188278 | St Nicholas Hospital of The Hospital Sisters of The Third Order of St | Durable Medical Equipment & Medical Supplies | 795 Woodlake Rd Ste B, Kohler, WI 53044-1315 | 2019-01-23 |
| 1669525648 | Debra Rubach | Pharmacist | 795 Woodlake Rd Ste C, Kohler, WI 53044-1315 | 2007-01-21 |
| 1952681603 | Cobey Ray Funk | Pharmacist | 795 Woodlake Rd Ste C, Kohler, WI 53044-1315 | 2011-08-26 |
| 1700917614 | Ellen Marie Lucey | Pharmacist | 795 Woodlake Rd Ste C, Kohler, WI 53044-1315 | 2007-03-09 |
| 1821142936 | Jeffrey Allen Wejrowski | Pharmacist | 795 Woodlake Rd Ste C, Kohler, WI 53044-1315 | 2007-01-23 |
| 1255575445 | Walgreen Co | Pharmacy | 795 Woodlake Rd, Ste C, Kohler, WI 53044-1322 | 2009-05-01 |
| 1154523207 | Wanda Beth Kalencki | Anesthesiology | 1118c Aspen Ct, Kohler, WI 53044-1400 | 2007-06-01 |
| 1730384819 | Susan Klink Senti | Physical Therapist | 716 Greentree Rd, Kohler, WI 53044-1412 | 2007-06-18 |
| Find all providers in zip 53044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407480866 | Kristi Amber Hasenstein | Nurse Practitioner | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2020-02-25 |
| 1356800445 | Jonathan D Shuit | Nurse Practitioner | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2019-03-18 |
| 1225400500 | Theresa Krueger-junk | Nurse Practitioner | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
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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.