PAULA FAE CLARK (NPI# 1366867400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366867400 |
| Entity Type | Individual |
| Full Name | PAULA FAE CLARK |
| Credential | FNP |
| Practice Address |
1555 N 17th Ave Greeley CO 80631-9117 |
| Mailing Address |
2930 11th Ave Evans CO 80620-1011 |
| Practice Telephone | 9703046425 |
| Practice Fax Number | 9703046416 |
| Mailing Telephone | 9703504606 |
| Mailing Fax Number | 9703504692 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 991016 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
76276 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043220668 | Paula Jeanne Clark | Marriage & Family Therapist | 461 2nd St Apt 255, San Francisco, CA 94107-4111 | 2006-08-08 |
| 1881015907 | Paula Jean Clark | Occupational Therapy Assistant | 308 E 3rd St, Libby, MT 59923-2140 | 2013-12-16 |
| 1053668376 | Paula K Clark | Counselor | 1545 Hotel Cir S, #300, San Diego, CA 92108-3412 | 2012-08-06 |
| 1215110580 | Paula Ann Clark | Registered Nurse | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2007-12-10 |
| 1548451412 | Paula Michelle Clark | Social Worker | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2007-08-06 |
| 1790906824 | Paula C. Clark | Marriage & Family Therapist | 250 W Main St, Suite 201, Tustin, CA 92780-7724 | 2007-05-02 |
| 1023237401 | Paula Anne Clark | Occupational Therapist | 1625 Bethel Rd, Suite 101, Columbus, OH 43220-2071 | 2007-04-24 |
| 1942242151 | Paula Eileen Clark | Nurse Practitioner | 655 Us Highway 31 S, Greenwood, IN 46142-3061 | 2006-06-12 |
| 1144260050 | Paula L Clark | Social Worker | 3493 Woods Edge Dr, Suite 103, Okemos, MI 48864 | 2006-06-08 |
| Street Address |
1555 N 17TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-9117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753107 | Terri Yetter | Nurse Practitioner | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2005-07-07 |
| 1962017954 | Kelly Gall | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2020-09-15 |
| 1659915189 | Lorena Marquez | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2019-10-28 |
| 1144787102 | Megan Ashley Page | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2019-02-26 |
| 1790242071 | Caitlin Elizabeth Young | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2019-02-22 |
| 1639646508 | Alex Tannon Carmitchel-fifer | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2018-10-30 |
| 1619450822 | Sarah Mae Mcfadden | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2018-09-13 |
| 1396225611 | Laura Vickerman | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2018-08-16 |
| 1225524945 | Kiley Long | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2018-07-05 |
| 1861994030 | Nicole Bondy | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2018-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| 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 |
|---|---|---|---|---|
| 1720689789 | Noco New Beginnings | Nurse Practitioner | 1019 39th Ave Ste J, Greeley, CO 80634-2501 | 2020-11-05 |
| 1629034723 | Mary Burgess Walton | Nurse Practitioner | 2020 16th St, Greeley, CO 80631-5158 | 2006-04-26 |
| 1043291271 | Beth Ann Ramsey | Nurse Practitioner | 4800 W 25th St, Greeley, CO 80634-3734 | 2005-11-05 |
| 1205821162 | Anne Marie Lease | Nurse Practitioner | 1800 15th St, Suite 320, Greeley, CO 80631-4500 | 2005-09-16 |
| 1942807169 | Lisa Simmons | Nurse Practitioner | 2928 W 10th St, Greeley, CO 80634-5426 | 2020-10-01 |
| 1588271340 | Becky Lynn Evans | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-25 |
| 1174149983 | Diana Lynn Bailey | Nurse Practitioner | 1010 A St, Greeley, CO 80631-2021 | 2020-06-18 |
| 1255813341 | Rainer Linnemeyer | Nurse Practitioner | 1010 A St, Greeley, CO 80631-2021 | 2018-09-05 |
| 1811414295 | Kimberly Eisenbach | Nurse Practitioner | 1800 15th St Ste 220, Greeley, CO 80631-4563 | 2017-08-25 |
| 1801265350 | Hebah Refaat | Nurse Practitioner | 1900 16th St, Greeley, CO 80631-5114 | 2015-09-15 |
| Find all providers in GREELEY | ||||
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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.