MRS. CAROLYN MARIE CLARKE (NPI# 1295942365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295942365 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN MARIE CLARKE |
| Other Name | MRS. CAROLYN MARIE KILLMER |
| Credential | ARNP |
| Practice Address |
4131 Central Ave St Petersburg FL 33713-8229 |
| Mailing Address |
2310 Ella Pl Clearwater FL 33765-2722 |
| Practice Telephone | 7273273300 |
| Mailing Telephone | 7274181241 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP893022 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4131 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366698078 | All Women's Health Center, Inc. | Obstetrics & Gynecology | 4131 Central Ave, St Petersburg, FL 33713-8229 | 2008-08-13 |
| 1609022771 | All Women's Health Center, Inc. | Obstetrics & Gynecology | 4131 Central Ave, St Petersburg, FL 33713-8229 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255815460 | Kathryn Marcino | Nurse Practitioner | 10901 Brighton Bay Blvd Ne Apt 3113, St Petersburg, FL 33716-3450 | 2018-09-24 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1487151155 | Marathon Health LLC | Nurse Practitioner | 880 Carillon Pkwy, St Petersburg, FL 33716-1102 | 2018-04-10 |
| 1619417169 | Elethia Faith Garvey-morris | Nurse Practitioner | 901 58th Ave S, St Petersburg, FL 33705-5033 | 2017-03-02 |
| 1346607116 | Inna Anderson | Nurse Practitioner | 6294 Bahia Del Mar Cir Apt 401, Unit 401, St Petersburg, FL 33715-1086 | 2016-01-25 |
| 1962754531 | Edward F Mccullough | Nurse Practitioner | 2852 66th St N, St Petersburg, FL 33710-3127 | 2012-10-08 |
| 1932451507 | Psychiatric Behavioral Services, Inc | Nurse Practitioner | 6161 Dr Martin L King St N, Ste 102, St Petersburg, FL 33703-1104 | 2012-10-08 |
| 1427321454 | Mary M. O'brien | Nurse Practitioner | 2525 Pasadena Avenue S, Suite 5, St Petersburg, FL 33707-4559 | 2012-02-22 |
| 1164582615 | Linda Diane Renshaw | Nurse Practitioner | 3050 1st Ave S, St Petersburg, FL 33712-1010 | 2006-12-12 |
| 1619082252 | Joseph Dominic Willis | Nurse Practitioner | 10974 54th Ave N, St Petersburg, FL 33708-2943 | 2006-08-21 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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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.