CLARK EDWARDS (NPI# 1326403668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326403668 |
Entity Type | Individual |
Full Name | CLARK EDWARDS |
Practice Address |
7331 Pawtuckett Rd Charlotte NC 28214-2115 |
Practice Telephone | 7044581910 |
Mailing Telephone | 7044581910 |
Enumeration Date | 2015-12-30 |
Last Update Date | 2015-12-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932663499 | Clark Edwards | Physical Therapist | 1989 Capital Cir Ne Ste 9, Tallahassee, FL 32308-4476 | 2019-01-29 |
Street Address |
7331 PAWTUCKETT RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28214-2115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
1104473974 | Daquan Ford | Technician | 7011 Hunters Glen Drive, Charlotte, NC 28214 | 2019-08-26 |
1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
1912481029 | Charlotte Afriyie | Behavior Technician | 2122 Sonoma Valley Drive, Charlotte, NC 28214 | 2018-09-25 |
1588161350 | Future Impression | Counselor | 619 Sullivan Street, Charlotte, NC 28214 | 2018-04-09 |
1588072326 | Key Choice Counseling | Community/Behavioral Health | 2909 Berry Creek Rd., Charlotte, NC 28214 | 2014-07-24 |
1255751699 | Joyce Patterson Melton | Registered Nurse | 7409 Pawtuckett Rd, Charlotte, NC 28214 | 2014-04-24 |
1407271109 | Central Carolina Medical Clinic, Pa | Internal Medicine | 515 Little Rock Road, Charlotte, NC 28214 | 2014-03-04 |
1063764702 | Autism Services of Mecklenburg County, Inc. | Intermediate Care Facility, Mentally Retarded | 5917 Rowan Way, Charlotte, NC 28214 | 2012-10-04 |
1043569460 | Loretta Massey | Social Worker | 2202 Lisa Carole Drive, Charlotte, NC 28214 | 2012-08-30 |
Find all providers in zip 28214 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215544564 | Umuhire Ntabana | Student in an Organized Health Care Education/Training Program | 712 Woodruff Pl, Charlotte, NC 28208-4552 | 2020-09-29 |
1184236226 | Andrea Rose Corpus | Student in an Organized Health Care Education/Training Program | 7617 Grayling Ct, Charlotte, NC 28227-1200 | 2020-08-19 |
1548871445 | Deborah Hugh | Student in an Organized Health Care Education/Training Program | 4924 Dawnridge Dr, Charlotte, NC 28226-8088 | 2020-08-13 |
1922619337 | Connor Michael Gordley | Student in an Organized Health Care Education/Training Program | 824 Autumn Rain Ln, Charlotte, NC 28209-4794 | 2020-08-11 |
1396356796 | Kaitlin Anne Phelps | Student in an Organized Health Care Education/Training Program | 1315 Harding Pl Apt 342, Charlotte, NC 28204-3542 | 2020-08-11 |
1891306106 | Grace Horrall | Student in an Organized Health Care Education/Training Program | 2808 Griffith St Apt 3111, Charlotte, NC 28203-2406 | 2020-08-11 |
1124642756 | Umanah Healthcare Institute | Student in an Organized Health Care Education/Training Program | 5801 Executive Center Dr Ste 103, Charlotte, NC 28212-8870 | 2020-05-29 |
1407479108 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 12715 Mosby Ln, Charlotte, NC 28273-4841 | 2020-05-28 |
1043833916 | Rachel Marleen Grove | Student in an Organized Health Care Education/Training Program | 1908 Piedmont Hills Pl Apt 828, Charlotte, NC 28217-6716 | 2020-05-26 |
1669095733 | Zachary A Wood | Student in an Organized Health Care Education/Training Program | 1042 Newfound Hollow Dr, Charlotte, NC 28214-8823 | 2020-05-25 |
Find all providers in CHARLOTTE |
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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.