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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 509539 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS TX | 85N188 | 01 |
TX | 142123201 | 05 |
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 |
Street Address |
3113 ROSS ST |
City | AMARILLO |
State | TX |
Zip Code | 79103-2700 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 79103 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
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 |
Find all providers in AMARILLO |
Please comment or provide details below to improve the information on WANDA LU 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.