MRS. SHEILA MARIE CLARK (NPI# 1356900773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356900773 |
| Entity Type | Individual |
| Full Name | MRS. SHEILA MARIE CLARK |
| Credential | FNP-C |
| Practice Address |
236 Simpson Ave Elkhart IN 46516-4666 |
| Practice Telephone | 5745847373 |
| Practice Fax Number | 5742931739 |
| Mailing Telephone | 5745180250 |
| Mailing Fax Number | 5742931739 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06190842 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11591 N 450 E, Syracuse, IN 465679564 | 5745180250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213946 | Sheila A Clark | Counselor | 30200 Telegraph Rd Ste 106, Bingham Farms, MI 48025-4503 | 2019-03-04 |
| 1659895696 | Sheila Renee Clark | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2017-08-01 |
| 1407271307 | Sheila Green Clark | Mastectomy Fitter | 1028 Atkinson St, Laurinburg, NC 28352-4721 | 2014-02-28 |
| 1073875704 | Sheila Bridget Clark | Registered Nurse | 204 E Walnut St, Perkasie, PA 18944-1636 | 2012-06-08 |
| 1053443531 | Sheila Joyce Clark | Psychiatry & Neurology | 207 E Northern Lights Blvd, Ste 111, Anchorage, AK 99503-2728 | 2007-03-11 |
| 1720094253 | Sheila Renee Clark | Speech-Language Pathologist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2006-08-01 |
| Street Address |
236 SIMPSON AVE |
| City | ELKHART |
| State | IN |
| Zip Code | 46516-4666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739639 | Martina A Green-mcgowan | Obstetrics & Gynecology | 236 Simpson Ave, Elkhart, IN 46516 | 2005-06-13 |
| 1023640117 | Cecilia Mumbi Maina | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2020-02-07 |
| 1902371172 | Trisha Loray Thrash | Dental Hygienist | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2018-10-03 |
| 1033633656 | Lorraine Doris Swartzentruber | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2017-07-26 |
| 1437698271 | Angelina Theresa Panford | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2017-02-13 |
| 1508304304 | Andrea Lynn Miller | Registered Nurse | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2017-02-01 |
| 1083156012 | Cari Balmer | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2016-11-08 |
| 1578935235 | Dawn Boughton | Counselor | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2015-10-21 |
| 1225441751 | Terry Poindexter | Counselor | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2014-06-02 |
| 1447517172 | Meenakshi Gupta | Pediatrics | 236 Simpson Ave, Elkhart, IN 46516 | 2012-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974675 | Courtney Rae Lawson | Nurse Practitioner | 1178 Fremont Ct., Elkhart, IN 46516 | 2020-08-28 |
| 1932690955 | Lisa Cooper | Counselor | 529 S 2nd St, Elkhart, IN 46516 | 2018-05-24 |
| 1780183558 | Evolve Chiropractic, LLC | Chiropractor | 5301 Beck Dr. Suite 3, Elkhart, IN 46516 | 2018-02-07 |
| 1790215168 | Cutting Edge Integrative Pain Centers LLC | Internal Medicine | 242 Waterfall Dr Ste B, Elkhart, IN 46516 | 2017-06-18 |
| 1831448745 | Planned Parenthood of Indiana Elkhart | Clinic/Center | 505 S. Third St., Suite 160, Elkhart, IN 46516 | 2012-09-06 |
| 1588920128 | Physical Therapy Professionals PC | Clinic/Center | 932 Parkway Ave, Ste. B, Elkhart, IN 46516 | 2012-04-09 |
| 1821369091 | Marek Serwatka | Physical Therapist | 932 Parkway Ave Ste B, Elkhart, IN 46516 | 2012-01-19 |
| 1538459904 | Rose M. Mwania | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave Ste A, Elkhart, IN 46516 | 2011-04-19 |
| 1487894838 | Jack Alan Turnock | Dentist | 330 West Lexington Ave, Suite 201, Elkhart, IN 46516 | 2009-02-25 |
| 1225207285 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30830 Old Us 33, Elkhart, IN 46516 | 2008-02-25 |
| Find all providers in zip 46516 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974675 | Courtney Rae Lawson | Nurse Practitioner | 1178 Fremont Ct., Elkhart, IN 46516 | 2020-08-28 |
| 1710326814 | Celeste M Warlick | Nurse Practitioner | 5218 Beck Dr Ste 12, Elkhart, IN 46516-9132 | 2013-06-21 |
| 1831454743 | Sharon Ann Covello | Nurse Practitioner | 2424 California Rd, Elkhart, IN 46514-1226 | 2012-07-06 |
| 1578689782 | Jacqueline Sue Lenfestey-demont | Nurse Practitioner | 1215 Lawn Ave Ste 120, Elkhart, IN 46514-2450 | 2007-03-21 |
| 1194334631 | Candie Books | Nurse Practitioner | 2310 California Rd, Elkhart, IN 46514-1228 | 2020-07-30 |
| 1992324883 | Apeksha Shah | Nurse Practitioner | 2746 Old Us 20 W Ste A, Elkhart, IN 46514-1365 | 2020-04-10 |
| 1023640117 | Cecilia Mumbi Maina | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2020-02-07 |
| 1588217533 | Emily Brown | Nurse Practitioner | 28070 County Road 24, Elkhart, IN 46517-9717 | 2019-07-18 |
| 1427619212 | Jessica Rinehart | Nurse Practitioner | 600 East Blvd, Elkhart, IN 46514-2483 | 2019-06-24 |
| 1114482676 | Marla M Troyer | Nurse Practitioner | 303 S Nappanee St, Elkhart, IN 46514-2098 | 2019-02-08 |
| Find all providers in ELKHART | ||||
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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.