SHERRY CLARK (NPI# 1346620259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346620259 |
| Entity Type | Individual |
| Full Name | SHERRY CLARK |
| Practice Address |
7030 Capella Park Ave Dallas TX 75236-3003 |
| Mailing Address |
7030 Capella Park Av Dallas TX 75236 |
| Practice Telephone | 8175401363 |
| Mailing Telephone | 8175401363 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 320900000 | TX | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131344 | Sherry Clark | Physical Medicine & Rehabilitation | 2395 Wall St Se Ste 176, Conyers, GA 30013-6703 | 2020-10-12 |
| 1730649930 | Sherry Marie Clark | Behavior Technician | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2019-03-22 |
| 1992277529 | Sherry Clark | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2018-12-20 |
| 1750862744 | Sherry Clark | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2018-08-27 |
| 1952675209 | Sherry L. Clark | Nurse Practitioner | 2703 Henry St, Greensboro, NC 27405-3669 | 2012-03-05 |
| 1467698217 | Sherry Clark | Respiratory Therapist, Certified | 500 E Veterans St, Tomah, WI 54660-3105 | 2008-12-29 |
| Street Address |
7030 CAPELLA PARK AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75236-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952805962 | Braken Group, LLP | Clinic/Center | 6431 Rosalie Dr, Dallas, TX 75236 | 2018-03-23 |
| 1952732398 | Shauna Jones | Military Hospital | 4504 Bronzeway, Dallas, TX 75236 | 2013-12-11 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1295857902 | Patricia A Welborn | Physician Assistant | 5701 W Kiest Blvd, Dallas, TX 75236-1047 | 2007-04-04 |
| 1871757401 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5701 W Kiest Blvd, Dallas, TX 75236-1047 | 2008-07-13 |
| 1700409026 | Earl Mark Green | Counselor | 4621 Country Creek Dr Apt 1044, Dallas, TX 75236-1220 | 2020-05-20 |
| 1659517829 | Eagle Advantage Academy, Inc. | Local Education Agency (LEA) | 4011 Joseph Hardin Dr Ste F, Dallas, TX 75236-1507 | 2008-12-18 |
| 1972700995 | James Robert Auvil | Optometrist | 3911 S Walton Walker Blvd, Dallas, TX 75236-1509 | 2007-07-02 |
| 1558698068 | Aafes Optometry (kadena) | Clinic/Center | 3911 S Walton Walker Blvd, Fa-c/or, Dallas, TX 75236-1509 | 2009-11-05 |
| 1750726345 | Laura V Settlage | Registered Nurse | 5222 Whispering Oaks Dr, Dallas, TX 75236-1740 | 2013-05-08 |
| Find all providers in zip 75236 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107831 | American Roses Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6330 S Lancaster Rd, Dallas, TX 75241-3800 | 2020-06-04 |
| 1841839727 | Bellview Advocacy Project LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14606 Dallas Pkwy Apt 1111, Dallas, TX 75254-7451 | 2019-12-25 |
| 1740832021 | Brittany Dory | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8004 W Virginia Dr Apt 908, Dallas, TX 75237-4425 | 2019-07-16 |
| 1235621368 | Infinite Hope Hcs, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4650 S Hampton Rd Ste 11, Dallas, TX 75232-1066 | 2018-06-04 |
| 1295246916 | Camilla Medina | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 Amos St, Dallas, TX 75212-5202 | 2017-10-20 |
| 1619351665 | Kimberly Hutchings | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9670 Forest Ln Apt 1109, Dallas, TX 75243-8639 | 2015-07-18 |
| 1710377726 | U-niq Identity | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 917 Fordham Rd, Dallas, TX 75216-6133 | 2015-01-28 |
| 1356747554 | A Su Lado Co. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Main St Apt 202, Dallas, TX 75202-4300 | 2014-11-15 |
| 1477957405 | Amethyst Residential Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5863 Foxglove Ln, Dallas, TX 75249-1625 | 2014-10-20 |
| 1881948941 | A Place Like Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4703 Lomax Dr, Dallas, TX 75227-2708 | 2012-10-28 |
| Find all providers in DALLAS | ||||
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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.