MS. HEATHER ELAN CLARK (NPI# 1295365815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295365815 |
| Entity Type | Individual |
| Full Name | MS. HEATHER ELAN CLARK |
| Credential | RN |
| Practice Address |
5721 Hamilton Rd Jordan NY 13080-9760 |
| Practice Telephone | 3156895810 |
| Practice Fax Number | 3156893004 |
| Mailing Telephone | 3156895810 |
| Mailing Fax Number | 3156893004 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
661152 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972900520 | Heather Clark | Family Medicine | 9815 Main St Ste 208, Damascus, MD 20872 | 2014-11-25 |
| 1417387721 | Heather Summers Clark | Counselor | 12729 Nw Twin Oaks Dr, Bristol, FL 32321-3431 | 2013-11-22 |
| 1093095010 | Heather C Clark | Physical Therapist | 778 Baeder Rd, Jenkintown, PA 19046-2236 | 2011-08-22 |
| 1619184959 | Heather Clark | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2007-05-17 |
| 1033281555 | Heather E Clark | Dentist | 269 N Easton Rd, Glenside, PA 19038-4717 | 2006-11-14 |
| 1336139252 | Heather J Clark | Pharmacist | 14720 Metcalf Ave, Overland Park, KS 66223-2204 | 2005-10-22 |
| 1356343784 | Heather M Clark | Dentist | 2311 New Rd, Northfield, NJ 08225-1442 | 2005-08-15 |
| 1861983116 | Heather Nicole Clark | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4396 | 2018-05-22 |
| 1215424270 | Heather Lynn Clark | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2018-04-16 |
| 1467976696 | Heather Clark | Physician Assistant | 3200 E Racine St, Janesville, WI 53546-2343 | 2017-07-31 |
| Street Address |
5721 HAMILTON RD |
| City | JORDAN |
| State | NY |
| Zip Code | 13080-9760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194064600 | Roxann Lynn Sherman | Registered Nurse | 5721 Hamilton Rd, Jordan, NY 13080-9760 | 2013-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952783086 | Nichole Marie Topolewski | Licensed Practical Nurse | 150 Fire Lane 13, Jordan, NY 13080 | 2015-06-25 |
| 1366748600 | Meghan T H Cali | Massage Therapist | 1 North Main St., Jordan, NY 13080 | 2011-02-03 |
| 1548244114 | Jordan Volunteer Fire Company Inc | Ambulance | 1 North Hamilton St, Jordan, NY 13080 | 2005-12-06 |
| 1255566998 | Pamela Rena Bort | Licensed Practical Nurse | 10178 Slab City Rd, Jordan, NY 13080-3105 | 2009-05-26 |
| 1477748895 | Robin M Pollock | Registered Nurse | 353 Somes Path, Jordan, NY 13080-3164 | 2007-09-10 |
| 1578193660 | Jessica Ann Strong | Registered Nurse | 9 N Chappell St, Jordan, NY 13080-4513 | 2020-01-17 |
| 1720126899 | Jordan-elbridge Central School District | Local Education Agency (LEA) | 9 N Chappell St, Jordan, NY 13080-9431 | 2007-02-02 |
| 1063723658 | Sarah E O'neil | Speech-Language Pathologist | 9 N Chappell St, Jordan, NY 13080-9431 | 2010-06-29 |
| 1518110766 | Laura A. Berube | Speech-Language Pathologist | 9 N Chappell St, Jordan, NY 13080-9431 | 2008-11-01 |
| 1679708101 | Tracey Ann Klock | Licensed Practical Nurse | 5444 Hamilton Rd, Jordan, NY 13080-9580 | 2009-05-28 |
| Find all providers in zip 13080 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194064600 | Roxann Lynn Sherman | Registered Nurse | 5721 Hamilton Rd, Jordan, NY 13080-9760 | 2013-02-04 |
| 1578193660 | Jessica Ann Strong | Registered Nurse | 9 N Chappell St, Jordan, NY 13080-4513 | 2020-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760343 | Dorothy Christine Whitman | Registered Nurse | Wayland -cohocton Central School, 2350 Route 63, Wayland, NY 14572 | 2020-11-06 |
| 1841899028 | Kara Chalk Hartnett | Registered Nurse | 36 Mcmahon Ave, Corning, NY 14830-3316 | 2020-10-20 |
| 1801495056 | Connie L Miller | Registered Nurse | 5825 Catalpa Ave, Ridgewood, NY 11385-5001 | 2020-10-20 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1689281198 | Jessica Fermin | Registered Nurse | 216 Avenue M Apt 1f, Brooklyn, NY 11230-4689 | 2020-09-29 |
| 1700493236 | Leslie Marie Lamirande | Registered Nurse | Van Buren Elementary School, 14 Ford Street, Baldwinsville, NY 13027 | 2020-09-29 |
| 1922615822 | Alyssa Jane Arlen | Registered Nurse | 4704 State Route 149, Hartford, NY 12838 | 2020-09-25 |
| 1790391845 | Anna Kichuk | Registered Nurse | 160 School Ln, Frankfort, NY 13340-4710 | 2020-09-23 |
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1578172219 | Sasha Sara Martell | Registered Nurse | 2119 27th St Apt D1, Astoria, NY 11105-3014 | 2020-07-29 |
| 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.