NATALIE CLARK (NPI# 1376065375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376065375 |
| Entity Type | Individual |
| Full Name | NATALIE CLARK |
| Credential | RN |
| Practice Address |
750 N Freedom Blvd # 200w Provo UT 84601-1677 |
| Mailing Address |
365 W 470 N Spanish Fork UT 84660-1420 |
| Practice Telephone | 8013737394 |
| Mailing Telephone | 8017224599 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
8035161-3102 | UT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282386 | Natalie Nanette Clark | Home Health Aide | 3917 Beulah Rd, Columbus, OH 43224-2616 | 2020-07-19 |
| 1497386908 | Natalie Nicole Clark | Behavior Technician | 32162 Machado St, Lake Elsinore, CA 92530-5211 | 2020-02-03 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1689898082 | Natalie Elaine Clark | Occupational Therapist | Marionville Reorganized Dist 9, College & Dell, Marionville, MO 65705-0409 | 2007-04-13 |
| 1760942775 | Natalie Christine Clark | Behavior Technician | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2019-03-25 |
| 1316401946 | Natalie Clark | Counselor | 580 White Plains Rd, Tarrytown, NY 10591-5198 | 2019-01-28 |
| 1669979167 | Natalie Marie Clark | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2018-04-11 |
| 1174038830 | Natalie Anne Clark | Pharmacist | 10530 John W Elliott Dr Ste 100, Frisco, TX 75033-2014 | 2017-12-04 |
| 1942683727 | Natalie Clark | Counselor | 515 Clanton Rd, Charlotte, NC 28217-1309 | 2015-06-30 |
| 1851647465 | Natalie B Clark | Counselor | 55 Cummings Way, Woonsocket, RI 02895-3247 | 2012-08-01 |
| Street Address |
750 N FREEDOM BLVD # 200W |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792015 | Emmanuela Bailey | Case Manager/Care Coordinator | 750 N Freedom Blvd # 200w, Provo, UT 84601-1677 | 2016-11-13 |
| 1942790225 | Amelia Cope | Behavior Technician | 750 N Freedom Blvd # 200w, Provo, UT 84601-1677 | 2018-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255968681 | Tiffani Petersen | Registered Nurse | 1034 N 500 W, Provo, UT 84604-3380 | 2020-03-25 |
| 1851934707 | Vicky Suruky | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
| 1962961136 | Kristine Wisdom | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2019-03-18 |
| 1043723125 | Mindy Anne Spencer | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2017-11-10 |
| 1972015675 | Lisa Marion Sladyk | Registered Nurse | 1161 E 300 N, Provo, UT 84606-3539 | 2017-11-02 |
| 1104366558 | Melanie Winsor | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2017-03-06 |
| 1063962140 | Gary Webb | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-10-12 |
| 1912369679 | Rosemary Parson | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-03-22 |
| 1386005569 | Brittany Antoine | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-03-15 |
| 1083017875 | Cheri Lynn Wright | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2014-10-07 |
| Find all providers in PROVO | ||||
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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.