MISS REBECCA UMA CLARK (NPI# 1295107035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295107035 |
| Entity Type | Individual |
| Full Name | MISS REBECCA UMA CLARK |
| Credential | FNP, NP-C, ARNP |
| Practice Address |
1314 Oak St Melbourne FL 32901 |
| Mailing Address |
1314 Oak St Melbourne FL 32901-3111 |
| Practice Telephone | 3217277992 |
| Mailing Telephone | 3217277992 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
APRN9294102 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1314 Oak St, Melbourne, FL 32901 | 3217277992 | |
| 1900 Nebraska Ave Ste 9, Fort Pierce, FL 349504837 | 7724654757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978833 | Rebecca Clark | Massage Therapist | 244 Madison Ave # 391, New York, NY 10016-2817 | 2020-09-30 |
| 1184130759 | Rebecca Lee Clark | Registered Nurse | 2435 Kimberly Rd Ste 10n, Bettendorf, IA 52722-3572 | 2017-12-19 |
| 1144761099 | Rebecca Clark | Counselor | 24401 W 39th St S, Goddard, KS 67052-8713 | 2017-03-11 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1861557563 | Rebecca Clark | Respite Care | 2703 S 37th Dr, Yuma, AZ 85364-5983 | 2006-12-25 |
| 1831112671 | Rebecca Jand Clark | Counselor | 1501 San Pedro Se (116), Albuquerque, NM 87108 | 2006-07-25 |
| 1922067859 | Rebecca A Clark | Physician Assistant | 664 N Main St, Pearson, GA 31642 | 2006-03-20 |
| 1124004700 | Rebecca Elizabeth Clark | Nurse Practitioner | 1811 State St, Nashville, TN 37203-2205 | 2005-12-15 |
| 1841811098 | Rebecca L Clark | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-04-29 |
| 1073149167 | Rebecca Maria Clark | Genetic Counselor, MS | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224-1334 | 2020-03-20 |
| Street Address |
1314 OAK ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131145 | Ashish Mahindra | Internal Medicine | 1314 Oak St, Melbourne, FL 32901-3111 | 2005-08-10 |
| 1477194611 | Travis Alford | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901-3111 | 2019-09-30 |
| 1184195083 | Michael Scott Gavigan | Hospitalist | 1314 Oak St, Melbourne, FL 32901 | 2018-12-17 |
| 1558866574 | Natasha Gomes | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901 | 2018-03-30 |
| 1952818650 | Jordan Wiles | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901-3111 | 2018-01-03 |
| 1902258775 | Lisa Linder | Hospitalist | 1314 Oak St, Melbourne, FL 32901-3111 | 2016-07-06 |
| 1144660424 | Jose Valentin | Physician Assistant | 1314 Oak St, Melbourne, FL 32901-3111 | 2013-07-01 |
| 1285973453 | Robin Wendee Turinetti | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901-3111 | 2013-02-07 |
| 1174861405 | Acksa Chacko Kucharyson | Physician Assistant | 1314 Oak St, Melbourne, FL 32901-3111 | 2013-01-22 |
| 1508162645 | Sara Nicole Nilius | Physician Assistant | 1314 Oak St, Melbourne, FL 32901-3111 | 2011-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245518976 | Corrado LLC | Nurse Practitioner | 1698 B West Hibiscus Blvd, Suite B, Melbourne, FL 32901-2639 | 2011-07-29 |
| 1124593736 | Estrella Elizabeth Scherer | Nurse Practitioner | 1350 Hickory St, Melbourne, FL 32901-3278 | 2018-10-10 |
| 1821578212 | Stacie Nia Ross Cesaire | Nurse Practitioner | 1350 Hickory St, Melbourne, FL 32901-3224 | 2018-08-15 |
| 1770710279 | Celeste F Danforth | Nurse Practitioner | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2009-06-11 |
| 1750375747 | Andrea Jean Meier | Nurse Practitioner | 675 S Babcock St, Suite 1, Melbourne, FL 32901-1459 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342657 | Fritz Gerald Luma | Nurse Practitioner | 121 Nw 2nd Ave Unit 2, Hallandale Beach, FL 33009-4132 | 2020-09-29 |
| 1124645817 | Ashley Danielle Porcaro | Nurse Practitioner | 6133 Branchwood Dr, Lake Worth, FL 33467-7390 | 2020-06-29 |
| 1891324257 | Sara Quijano | Nurse Practitioner | 703 Willow Branch Ct, Lutz, FL 33549-5630 | 2020-04-07 |
| 1174098404 | Kristina Ashley Gass | Nurse Practitioner | 11845 Sw 100th St, Miami, FL 33186-2742 | 2018-10-13 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| 1235676909 | Jennifer Price | Nurse Practitioner | 4853 Saratoga Pl, Land O Lakes, FL 34639-6158 | 2017-01-19 |
| 1598139859 | Kyle Adam Payne | Nurse Practitioner | 6769 Hampshire Blvd, Lakeland, FL 33813-4429 | 2015-11-23 |
| 1144611716 | Hector F Gordillo | Nurse Practitioner | 1611 Nw 12th Ave Ste C402, Miami, FL 33136-1005 | 2015-02-18 |
| 1992092464 | Maria E Castro | Nurse Practitioner | 2905 Carolina Ave, Lakeland, FL 33803-4001 | 2011-07-06 |
| 1154499507 | Julie Ann Dodarell | Nurse Practitioner | 5595 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2006-12-02 |
| Find all providers with the same taxonomy | ||||
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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.