STACY ANN CLARK (NPI# 1295199941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295199941 |
| Entity Type | Individual |
| Full Name | STACY ANN CLARK |
| Credential | APRN |
| Practice Address |
3245 Mount Moriah Ave Suite 10 Owensboro KY 42303-7834 |
| Mailing Address |
8211 W State Route 66 # A Newburgh IN 47630-2534 |
| Practice Telephone | 2706630955 |
| Practice Fax Number | 2706630957 |
| Mailing Telephone | 2706630955 |
| Mailing Fax Number | 2706630957 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3010213 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861628380 | Stacy Clark | Counselor | 2156 Seastone Trce, Chesapeake, VA 23321-3777 | 2009-06-10 |
| 1912016494 | Stacy Ann Clark | Optometrist | 1601 E Iron Ave, Salina, KS 67401-3237 | 2006-08-29 |
| 1801841606 | Stacy Suzanne Clark | Chiropractor | 6 Ebco Circle, Waynesboro, VA 22980 | 2006-05-23 |
| 1669012647 | Stacy Ann Clark | Counselor | 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 | 2020-01-08 |
| 1881047124 | Stacy Clark | Marriage & Family Therapist | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-07-21 |
| 1689950479 | Stacy Clark | Pharmacist | 52482 State Road 933, South Bend, IN 46637-3852 | 2011-10-25 |
| 1053625764 | Stacy Clark | Psychologist | 25 E Washington St, 1719, Chicago, IL 60602-1708 | 2010-08-05 |
| 1114259637 | Stacy L Clark | Massage Therapist | 6290 W Sample Rd, Coral Springs, FL 33067-3101 | 2010-02-09 |
| 1134375314 | Stacy Clark | Physical Therapist | 11623 Arbor St, Omaha, NE 68144-2981 | 2008-08-07 |
| 1619145497 | Stacy Clark | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2008-02-14 |
| Street Address |
3245 MOUNT MORIAH AVE SUITE 10 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-7834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124325865 | Gateway Urgent Care, LLC | Clinic/Center | 3245 Mount Moriah Ave, Suite 10, Owensboro, KY 42303-7834 | 2011-02-15 |
| 1215306816 | Gateway Primary Care, LLC | Nurse Practitioner | 3245 Mount Moriah Ave, Suite 9, Owensboro, KY 42303-7834 | 2015-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023640489 | Kimberly Michelle Gilstrap | Nurse Practitioner | 3500 Frederica St, Owensboro, KY 42301-6901 | 2020-02-04 |
| 1851857858 | Andrea Marie Scott | Nurse Practitioner | 2811 New Hartford Rd, Owensboro, KY 42303-1384 | 2019-02-14 |
| 1033673355 | Cynthia M Waltz | Nurse Practitioner | 1201 Pleasant Valley Rd Fl 9, Owensboro, KY 42303-9811 | 2019-01-31 |
| 1407321847 | Darla M Alvey | Nurse Practitioner | 2200 E Parrish Ave Ste 201b, Owensboro, KY 42303-1451 | 2018-10-12 |
| 1992281323 | Sara Lynn Doolin-thompson | Nurse Practitioner | 2200 E Parrish Ave Ste 101, Owensboro, KY 42303-1449 | 2018-07-18 |
| 1366972283 | Diane Michelle Goetz | Nurse Practitioner | 3000 Alvey Park Dr W Ste D, Owensboro, KY 42303-4099 | 2017-06-13 |
| 1811447717 | John Sublett | Nurse Practitioner | 4359 Scotland Dr, Owensboro, KY 42303-2726 | 2016-10-04 |
| 1376996439 | Lauren K Shelton | Nurse Practitioner | 1301 Pleasant Valley Rd # 300, Owensboro, KY 42303-9774 | 2016-07-13 |
| 1770904559 | Primary Care Solutions, LLC | Nurse Practitioner | 2001 Frederica St., Owensboro, KY 42304 | 2013-12-23 |
| 1265773089 | Jennifer Beth Neely | Nurse Practitioner | 2915 New Hartford Rd, Owensboro, KY 42303-1323 | 2013-03-04 |
| Find all providers in OWENSBORO | ||||
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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.