MS. AMY CLARK (NPI# 1306264676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306264676 |
| Entity Type | Individual |
| Full Name | MS. AMY CLARK |
| Credential | NP-C |
| Practice Address |
1245 S Utica Ave 3rd Floor West Tulsa OK 74104-4214 |
| Practice Telephone | 9185603823 |
| Practice Fax Number | 9185792535 |
| Mailing Telephone | 9185603823 |
| Mailing Fax Number | 9185792535 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2015-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
93289 | OK | 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 |
1245 S UTICA AVE 3RD FLOOR WEST |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578543260 | Andre Fredieu | Psychiatry & Neurology | 1245 S Utica Ave, 3rd Floor West, Tulsa, OK 74104-4214 | 2006-01-19 |
| 1356721237 | Devon Morris | Nurse Practitioner | 1245 S Utica Ave, Tulsa, OK 74104-4214 | 2015-06-04 |
| 1124426978 | Helen Hoggard | Registered Nurse | 1245 S Utica Ave, 2nd Floor East, Tulsa, OK 74104-4214 | 2014-12-10 |
| 1811314909 | Brandi Baxter | Nurse Practitioner | 1245 S Utica Ave, Suite 103, Tulsa, OK 74104-4214 | 2014-03-26 |
| 1649612847 | Laura Thornton Bloomfield | Nurse Practitioner | 1245 S Utica Ave, 2nd Floor West, Tulsa, OK 74104-4214 | 2013-07-29 |
| 1669745667 | Amara Gayathri Nandikolla | Internal Medicine | 1245 S Utica Ave, Ste 100, Tulsa, OK 74104 | 2012-02-22 |
| 1659539401 | Hillary Pane | Family Medicine | 1245 S Utica Ave, 2w, Tulsa, OK 74104-4214 | 2008-05-29 |
| 1003001785 | Jaclyn Cinda Jones | Orthopaedic Surgery | 1245 S Utica Ave, Tulsa, OK 74104 | 2007-09-06 |
| 1629283114 | Ahs Oklahoma Physician Group, LLC | Internal Medicine | 1245 S Utica Ave, Tulsa, OK 74104-4214 | 2007-05-10 |
| 1477766616 | Andrea Elizabeth Stafford | Internal Medicine | 1245 S Utica Ave, Tulsa, OK 74104-4214 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1235742941 | Emily Christine Cobbs | Nurse Practitioner | 5740 E 29th St, Tulsa, OK 74114-6408 | 2020-08-24 |
| 1184234742 | Jenni Rigney | Nurse Practitioner | 1713 S Peoria Ave Ste A, Tulsa, OK 74120-6801 | 2020-08-07 |
| 1477163087 | Amy Marie Thomas | Nurse Practitioner | 9001 S 101st East Ave Ste 200, Tulsa, OK 74133-5711 | 2020-08-07 |
| 1225653512 | Channel Johnson | Nurse Practitioner | 766 N Zenith Ave, Tulsa, OK 74127-5232 | 2020-06-11 |
| 1326663857 | Bethany Lemley | Nurse Practitioner | 1217 S Atlanta Pl, Tulsa, OK 74104-4310 | 2020-06-10 |
| 1952939340 | Kairie Swift | Nurse Practitioner | 3321 S Yale Ave, Tulsa, OK 74135-8011 | 2020-03-31 |
| 1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
| 1871126573 | Chelsea Allen | Nurse Practitioner | 9175 S Yale Ave Ste 220, Tulsa, OK 74137-4043 | 2020-02-20 |
| 1982255352 | Crystal L Gazda | Nurse Practitioner | 4103 S Yale Ave Ste C, Tulsa, OK 74135-6002 | 2019-09-26 |
| Find all providers in TULSA | ||||
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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.