LINDA C CLARK (NPI# 1326165234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326165234 |
| Entity Type | Individual |
| Full Name | LINDA C CLARK |
| Credential | RN, CDE |
| Practice Address |
223 Cibeque Circle Road San Carlos AZ 85550-0208 |
| Mailing Address |
Po Box 208 San Carlos AZ 85550-0208 |
| Practice Telephone | 9284757205 |
| Practice Fax Number | 9284757370 |
| Mailing Telephone | 9284757205 |
| Mailing Fax Number | 9284757370 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN046813 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568703742 | Linda Gaye Clark | Social Worker | 148 S Dowlen Rd, # 638, Beaumont, TX 77707-1755 | 2013-03-12 |
| 1730403783 | Linda Sue Clark | Pharmacist | 201 Crossings Mall, Elkview, WV 25071 | 2010-03-19 |
| 1245552009 | Linda R Clark | Nutritionist | 5150 Sunrise Blvd., Ste. H-4, Fair Oaks, CA 95628 | 2010-02-22 |
| 1114167616 | Linda M Clark | Psychologist | 78 Reno Rd, Buffalo, WY 82834-2019 | 2009-02-24 |
| 1679610927 | Linda Patricia Clark | Massage Therapist | 14610 229th Ave E, Orting, WA 98360-9669 | 2007-01-30 |
| 1013061803 | Linda Jean Clark | Optometrist | 1765 Stafford Court, Goshen, IN 46526-6542 | 2007-01-22 |
| 1801806583 | Linda J. Clark | Social Worker | 238 N 2nd St, Ste.1, Richmond, KY 40475-1484 | 2006-08-08 |
| 1376507772 | Linda Clark | Internal Medicine | 13 Saint Albans Cir, Suite C, Newtown Square, PA 19073-3622 | 2006-04-13 |
| 1144723016 | Linda Catherine Clark | Counselor | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2018-03-16 |
| 1851848261 | Linda Clark | Specialist/Technologist | 1201 Galloway St, Steilacoom, WA 98388-3909 | 2016-09-01 |
| Street Address |
223 CIBEQUE CIRCLE ROAD |
| City | SAN CARLOS |
| State | AZ |
| Zip Code | 85550-0208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659480614 | Karen Sue Heath | Family Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1629109178 | Sally A Aday | Dietitian, Registered | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2007-03-08 |
| 1225163215 | Jack H. Turpen | Dentist | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2007-02-22 |
| 1356453278 | Jeffrey D Richardson | Physical Therapist | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2006-08-31 |
| 1306955596 | Bruce M. Bilder | Emergency Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1407965619 | Theresa A. Covello | Family Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1114036282 | Chul H. Kim | Pediatrics | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1811006059 | Michael E. Hudson | Internal Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1518076595 | Bridget Raquel Swanberg-austin | Dentist | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1043329188 | Sharon A Wattley | Family Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586686 | San Carlos Apache Tribe | Community/Behavioral Health | San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 | 2018-04-27 |
| 1568871762 | Aleksandra J Slaski | Counselor | Building 5 San Carlos Avenue, San Carlos, AZ 85550 | 2014-08-13 |
| 1619237377 | Justin Scott Phelps | Psychologist | 5 San Carlos Blvd., San Carlos, AZ 85550 | 2012-05-29 |
| 1669752622 | Sasha Melisa Latonis | Pharmacist | 208 Cibecue Cir, San Carlos, AZ 85550 | 2011-08-23 |
| 1699060343 | Paul Ray Delgado | Pharmacist | 208 Cibique Circle, San Carlos, AZ 85550 | 2011-06-10 |
| 1639481815 | Carlos Duarte | Family Medicine | 1 Vassar Dr Ne, Usphs Indian Hospital, San Carlos, AZ 85550 | 2010-07-05 |
| 1225355290 | Robert Reed Henley | Psychologist | 5 San Carlos Avenue, San Carlos, AZ 85550 | 2010-04-29 |
| 1912234576 | John Paul Hartman | Naturopath | 238 Seneca, San Carlos, AZ 85550 | 2009-11-03 |
| 1609015148 | Pamela Kay Kloote | Pharmacist | 208 Cibeque Circle, San Carlos, AZ 85550 | 2009-02-06 |
| 1689868317 | Jacqueline Ann Tutt | Licensed Practical Nurse | Skill Center Rd., San Carlos, AZ 85550 | 2007-09-06 |
| Find all providers in zip 85550 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1134694342 | Carol J Lawson | Registered Nurse | 294 W State Route 89a Ste 102, Cottonwood, AZ 86326-3763 | 2018-10-04 |
| 1184109456 | Jayne M. Davidson | Registered Nurse | 77 W Forest Ave Ste 202, Flagstaff, AZ 86001-1483 | 2018-10-02 |
| 1437677291 | Macy Lehotay | Registered Nurse | Indian Rte 7 & Indian Rte 12, Fort Defiance, AZ 86504 | 2017-08-31 |
| 1487027272 | Martha Madrid | Registered Nurse | 2625 E Indian School Rd Unit 115, Phoenix, AZ 85016-6794 | 2015-11-03 |
| 1487057436 | Maria Lourdes Galvan | Registered Nurse | Hwy 86 & Topawa Rd., Sells, AZ 85634-0548 | 2014-10-06 |
| 1073929162 | Soy Ramsumeer | Registered Nurse | 2007 Pegasus Ranch Rd, Bullhead City, AZ 86429 | 2014-07-09 |
| 1700223823 | Karren Anntonett Lee | Registered Nurse | Navajo Route 12 and 7, Fort Defiance Indain Hospital, Fort Defiance, AZ 86504 | 2013-05-30 |
| 1902178833 | Elizabeth Rawls | Registered Nurse | Navajo Rt 12 and N 7, Ft Defiance, AZ 86504 | 2012-02-08 |
| 1144510363 | Maureen Catharine Kappler | Registered Nurse | Savahcs 0 151, 3601 South 6th Avenue, Tucson, AZ 85723-0001 | 2011-04-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 85550 |
Please comment or provide details below to improve the information on LINDA C CLARK.
| 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.