PETER JAMES CLARK (NPI# 1346511094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346511094 |
Entity Type | Individual |
Full Name | PETER JAMES CLARK |
Credential | ATC, AT-L, CSCS, MA |
Practice Address |
502 E Boone Ave Ad Box 66 Spokane WA 99258-1774 |
Practice Telephone | 5093135591 |
Practice Fax Number | 5093135789 |
Mailing Telephone | 5093135591 |
Mailing Fax Number | 5093135789 |
Enumeration Date | 2012-01-25 |
Last Update Date | 2012-01-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A160047423 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548616485 | Peter Clark | Ophthalmology | 3601 4th St Rm 2a100, Lubbock, TX 79430-1931 | 2016-05-10 |
1154660314 | Peter Edward Clark | Physical Therapy Assistant | 630 Linda Ct, Palm Harbor, FL 34684-4624 | 2013-02-07 |
1407174998 | Peter A Clark | Social Worker | 10 Water St Ste 306, Waterville, ME 04901-6566 | 2010-05-10 |
1447310289 | Peter Clark | Psychologist | 203 W 21st Ave, Covington, LA 70433-3151 | 2006-12-11 |
1821106709 | Peter Clark | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2006-08-29 |
1891789087 | Peter Michael Clark | Specialist/Technologist | 23 Bridgton Rd, Westbrook, ME 04092-3653 | 2005-09-02 |
1679575385 | Peter Clark | Contractor | 785 Central Rd, Rye Beach, NH 03871-9005 | 2005-08-12 |
1710294434 | Peter Clark | Counselor | 519 17th St, Suite 210, Oakland, CA 94612-1527 | 2010-09-01 |
1164664967 | Peter J Clark | Psychiatry & Neurology | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2009-03-25 |
1528113628 | Peter Clark | Family Medicine | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | 2007-01-25 |
Street Address |
502 E BOONE AVE AD BOX 66 |
City | SPOKANE |
State | WA |
Zip Code | 99258-1774 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124093497 | Paul B Hastings | Psychologist | 502 E Boone Ave, Spokane, WA 99258-1774 | 2006-02-21 |
1295332252 | Jennifer Quartermaine | Nurse Practitioner | 502 E Boone Ave, Spokane, WA 99258-0001 | 2020-10-02 |
1821603069 | Matthew Harrison Volk | Registered Nurse | 502 E Boone Ave, Spokane, WA 99258-0001 | 2020-09-14 |
1386253276 | Adam Berens | Student in an Organized Health Care Education/Training Program | 502 E Boone Ave, Spokane, WA 99258-0001 | 2020-07-27 |
1336768928 | Kendall Gallop | Specialist/Technologist | 502 E Boone Ave, Spokane, WA 99258-1774 | 2020-04-13 |
1861031213 | Morgan Sloan | Nurse Practitioner | 502 E Boone Ave, Spokane, WA 99258 | 2020-01-02 |
1407492937 | Kristin Headrick | Student in an Organized Health Care Education/Training Program | 502 E Boone Ave, Spokane, WA 99258-1774 | 2019-11-19 |
1912549627 | Irene A Gielen | Student in an Organized Health Care Education/Training Program | 502 E Boone Ave, Spokane, WA 99258-0001 | 2019-10-14 |
1841753217 | Dagmara Barney | Student in an Organized Health Care Education/Training Program | 502 E Boone Ave, Spokane, WA 99258-1774 | 2019-04-11 |
1396235636 | William Edward Drake | Specialist/Technologist | 502 E Boone Ave, Spokane, WA 99258-0066 | 2018-05-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568494045 | Valerie Kolokoff | Family Medicine | Gonzaga University Student Health 704 E Sharp, Spokane, WA 99258 | 2006-07-07 |
1649233511 | Erin Marie Morrison | Psychiatry & Neurology | 704 E Sharp, Spokane, WA 99258 | 2006-04-10 |
1760506406 | Nancy K Crotty | Specialist | 704 E Sharp Ave, Spokane, WA 99258-0001 | 2007-03-19 |
1023114758 | Patricia Lea Hines | Nurse Practitioner | 702 E Sharp Ave, Spokane, WA 99258-0001 | 2006-09-16 |
1154397115 | Steven D Koffman | Psychologist | 714 E Boone, Rosauer Jcenter Education Rc 268, Spokane, WA 99258-0001 | 2006-02-28 |
1700842523 | Shann Ferch | Psychologist | 714 E Boone, Ad Box 25, Spokane, WA 99258-0001 | 2006-04-21 |
1790952141 | Nancy L. Worsham | Psychologist | East 502 Boone Ave, Gonzaga University Psychology Department, Spokane, WA 99258-0056 | 2008-05-14 |
1558770271 | Kathryn Lorraine Johnson | Specialist/Technologist | Gonzaga University 502 E Boone, Spokane, WA 99258-0066 | 2014-08-06 |
1316286958 | Ortiz Sunrise Counseling Services Co | Community/Behavioral Health | 502 E Boone Ave # Ad94, Spokane, WA 99258-0094 | 2013-02-01 |
1477004653 | Mollie Simonson | Emergency Medical Technician, Basic | Gonzaga University Msc 3838, 502 E Boone Ave., Spokane, WA 99258-2500 | 2016-10-21 |
Find all providers in zip 99258 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316569312 | Nora Ifft | Specialist/Technologist | 302 W Hastings Rd, Spokane, WA 99218-2545 | 2020-05-12 |
1851953798 | Joseph Hurley | Specialist/Technologist | 700 W Mallon Ave, Spokane, WA 99201-2134 | 2019-07-01 |
1184119646 | Leah Corra | Specialist/Technologist | 15001 N Wandermere Rd Apt F208, Spokane, WA 99208-8749 | 2018-06-27 |
1235621558 | Sean Louis Bernier | Specialist/Technologist | 2001 E 14th Ave, Spokane, WA 99202-3561 | 2018-06-01 |
1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
1144729831 | Caitlin Wilhoite | Specialist/Technologist | 10617 N Waikiki Rd, Spokane, WA 99218-2542 | 2018-02-08 |
1871002477 | Phoebe Duke | Specialist/Technologist | 3410 W Fort George Wright Dr, Spokane, WA 99224-5204 | 2017-09-26 |
1750803151 | Charles Hatfield Woolley V | Specialist/Technologist | 4707 E Upriver Dr Apt W205, Spokane, WA 99217-7360 | 2017-07-07 |
1720437619 | Andrea Stump | Specialist/Technologist | 8821 N Hill N Dale St, Apt 12, Spokane, WA 99218-1100 | 2016-06-10 |
1154728806 | Kelsey Anne Wakefield | Specialist/Technologist | 601 S Conklin St, Spokane, WA 99202-2320 | 2014-11-24 |
Find all providers in SPOKANE |
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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.