WANDA LU CLARK


Address: 3113 Ross St, Amarillo, TX 79103-2700
Phone: 8063747341

WANDA LU CLARK (NPI# 1356340681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356340681
Entity Type Individual
Full Name WANDA LU CLARK
Credential FNP
Practice Address 3113 Ross St
Amarillo
TX 79103-2700
Mailing Address 2801 W 8th St
Plainview
TX 79072-6737
Practice Telephone 8063747341
Practice Fax Number 8063220533
Mailing Telephone 8062938561
Mailing Fax Number 8062938413
Enumeration Date 2005-07-19
Last Update Date 2020-03-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 509539 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS TX 85N188 01
TX 142123201 05

Other Providers WANDA CLARK

NPI Name Taxonomy Address Enumeration
1043213457 Wanda Kaye Clark Nurse Practitioner 1151 Camden Ave, Rock Hill, SC 29732-3014 2005-05-31
1588936447 Wanda Clark Case Manager/Care Coordinator 1300 E Hanagita, Valdez, AK 99686-1635 2012-02-07
1376866301 Wanda Mae Clark Counselor 116 S Lawrence St, Rockingham, NC 28379-3657 2010-03-04
1578764056 Wanda Louise Clark Occupational Therapy Assistant 1422 San Marco Blvd, Jacksonville, FL 32207-8536 2007-05-30

Office Location

Street Address 3113 ROSS ST
City AMARILLO
State TX
Zip Code 79103-2700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861056046 Laura Murguia Dentist 3113 Ross St, Amarillo, TX 79103-2700 2019-04-23
1679049100 Joseph Dad Counselor 3113 Ross St, Amarillo, TX 79103-2700 2018-10-23
1932621182 Gabrielle Gloria Tardieu Pediatrics 3113 Ross St, Amarillo, TX 79103-2700 2017-07-10
1336690320 Taylor Riggs Physician Assistant 3113 Ross St, Amarillo, TX 79103-2700 2016-10-14
1578907507 Matthew Robert Turrie Pediatrics 3113 Ross St, Amarillo, TX 79103-2700 2013-04-21
1073840427 Tanya Deleon Registered Nurse 3113 Ross St, Amarillo, TX 79103-2700 2009-11-05
1578897765 Michael Colquitt Nash Family Medicine 3113 Ross St, Amarillo, TX 79103-2700 2009-09-22
1700048006 Morgan G Leak Internal Medicine 3113 Ross St, Amarillo, TX 79103-2700 2008-06-27
1619137700 Jessie Angelica Dieguez-arsenault Pediatrics 3113 Ross St, Amarillo, TX 79103-2700 2008-06-11
1457367443 Robert Bidwell Family Medicine 3113 Ross St, Amarillo, TX 79103-2700 2006-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942770516 Jessica Garcia Licensed Vocational Nurse 2904 S. Manhatten, Amarillo, TX 79103 2018-11-27
1760995633 Ramona J Yarbrough Nurse Practitioner 2329 Ross-osage St., Amarillo, TX 79103 2017-11-14
1679929723 Megan Maguire Marshall Scott Family Medicine Regence Health Network, 3113 Ross St., Amarillo, TX 79103 2016-05-08
1508151309 Anastacia J Nix Family Medicine 2329 Ross Osage St, Amarillo, TX 79103 2011-06-09
1033346259 Rosalinda I Barrera Social Worker 6010 Amarillo Boulevard West, Amarillo, TX 79103 2009-06-15
1326134453 Larry Alton Barry Dentist 3300 East Ih-40, Suite J, Amarillo, TX 79103 2006-10-05
1104923283 Lori Ann Eason Optometrist 3702 I-40 East, Amarillo, TX 79103 2006-09-20
1952818932 Jordan Marie Blocker-gonzales Behavior Technician 6031 Bell St., Amarillo, TX 79103 2017-12-29
1104124304 Amarillo Vision Specialists, P.a. Optometrist 3700 E Interstate 40, Amarillo, TX 79103 2011-03-11
1629277942 Shauna M Thornhill Optometrist 3700 E Interstate 40, Amarillo, TX 79103 2007-07-16
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740835271 Zclinic Family Health Care Nurse Practitioner 36 Tascocita Cir, Amarillo, TX 79124-7301 2019-08-01
1790268282 Advanced Family Practice, Pllc Nurse Practitioner 1901 Medi Park Dr Ste 2036, Amarillo, TX 79106-2109 2018-09-11
1790262798 Lexie Dawn Smith Nurse Practitioner 1901 Medi Park Dr Ste 200, Amarillo, TX 79106-2107 2018-07-23
1952896995 Angela Paulette Muniz Nurse Practitioner 723 N Taylor St Ste B, Amarillo, TX 79107-5279 2018-06-22
1477090702 Belynda Faye Yarber Nurse Practitioner 4213 Woodfield St, Amarillo, TX 79109-5629 2017-01-25
1154787398 Adam Graves Nurse Practitioner 1900 Se 34th Avenue Unit 1800, Amarillo, TX 79118-5555 2016-01-04
1629440250 Joseph Tsago Nguimatsa Nurse Practitioner 2 Sandhills Ln, Amarillo, TX 79124-4963 2015-10-22
1386067593 Amber Leigh Roth Nurse Practitioner 1411 East Amarillo Blvd, Amarillo, TX 79107-1770 2014-01-23
1992919484 Susan A Baltz Nurse Practitioner 7130 Bell, Amarillo, TX 79109 2007-05-10
1083751762 Janetta Ann Bitting Nurse Practitioner 1900 Se 34th Ave Unit 1800, Amarillo, TX 79118-6783 2007-01-31
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Competitor

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City AMARILLO
Zip Code 79103

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Dataset Information

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.

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