KIMBERLY SUE CLARK (NPI# 1386942837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386942837 |
| Entity Type | Individual |
| Full Name | KIMBERLY SUE CLARK |
| Credential | FNP-BC |
| Practice Address |
8881 M 119 Harbor Springs MI 49740 |
| Mailing Address |
8881 M 119 Harbor Springs MI 49740-9479 |
| Practice Telephone | 2313475400 |
| Practice Fax Number | 2313482515 |
| Mailing Telephone | 2313475400 |
| Mailing Fax Number | 2313482515 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704254566 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE OF MICHIGAN | 4704254566 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902362452 | Kimberly Michelle Clark | Technician, Other | 2819 Se Brodiaea Ct, Hillsboro, OR 97123-5201 | 2019-02-20 |
| 1780037994 | Kimberly Clark | Nurse Practitioner | 11251 Westwood Ave, Denham Springs, LA 70726-6947 | 2016-07-22 |
| 1053651869 | Kimberly Gail Clark | Hearing Instrument Specialist | 401 Apperson Dr, Salem, VA 24153-7026 | 2013-02-15 |
| 1952660524 | Kimberly Jo Clark | Licensed Practical Nurse | 334 Elmwood Ave, Barberton, OH 44203-1153 | 2012-05-16 |
| 1336421999 | Kimberly D Clark | Speech-Language Pathologist | 1524 Lexington Road, Clovis, NM 88101-6846 | 2011-09-09 |
| 1376878595 | Kimberly Clark | Physical Therapist | 101 S Kraemer Blvd Ste 125, Placentia, CA 92870-6100 | 2009-10-06 |
| 1609050913 | Kimberly Irene Clark | Counselor | 3077 Coolidge Ave, Costa Mesa, CA 92626-2809 | 2007-12-21 |
| 1053591875 | Kimberly Ann Clark | Counselor | 1516 S Boston Ave, Suite 100, Tulsa, OK 74119-4003 | 2007-11-08 |
| 1841400868 | Kimberly Clark | Social Worker | 4350 Woodland Ave, Jackson, MS 39206-3955 | 2007-05-22 |
| 1902900293 | Kimberly A Clark | Physical Therapist | 614 Monkton Rd, Bristol, VT 05443-5392 | 2006-09-08 |
| Street Address |
8881 M 119 |
| City | HARBOR SPRINGS |
| State | MI |
| Zip Code | 49740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053379834 | Wendy H. Walker | Family Medicine | 8881 M 119, Harbor Springs, MI 49740 | 2006-05-02 |
| 1811544703 | Rachel Joan Burmeister | Nurse Practitioner | 8881 M 119, Harbor Springs, MI 49740-9479 | 2019-08-25 |
| 1992197727 | Kristy Joanelle Paterson | Marriage & Family Therapist | 8881 M 119, Harbor Springs, MI 49740-9479 | 2015-03-03 |
| 1952727653 | Sarah Wolf | Internal Medicine | 8881 M 119, Harbor Springs, MI 49740 | 2014-03-05 |
| 1982949558 | Janet Marie Burns | Physician Assistant | 8881 M 119, Harbor Springs, MI 49740-9586 | 2012-12-07 |
| 1255665220 | Emilee Kennedy | Nurse Practitioner | 8881 M 119, Harbor Springs, MI 49740 | 2009-09-23 |
| 1184868762 | Rita Nichole Balistreri | Nurse Practitioner | 8881 M 119, Harbor Springs, MI 49740-9586 | 2009-04-27 |
| 1487800959 | Darcie Jean Sharapova | Family Medicine | 8881 M 119, Harbor Springs, MI 49740-9586 | 2008-08-14 |
| 1790834943 | Martin P Jankowski | Family Medicine | 8881 M 119, Harbor Springs, MI 49740 | 2007-01-09 |
| 1912099904 | Sara Leigh Rivette | Internal Medicine | 8881 M 119, Harbor Springs, MI 49740 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649815366 | Margaret Emily-pawlowski Bovee | Registered Nurse | 2444 Welsheimer Rd, Harbor Springs, MI 49740 | 2019-11-18 |
| 1760850234 | Renee Irene-francis Foreman | Physical Therapy Assistant | 930 Fairview Ave, Harbor Springs, MI 49740 | 2015-09-14 |
| 1750592143 | William Joel Steinbach | Chiropractor | 8434 M-119, Harbor Springs, MI 49740 | 2007-05-25 |
| 1508076399 | William Joseph Curtiss | Dentist | 617 E Lake St, Harbor Springs, MI 49740 | 2007-05-23 |
| 1528180841 | Michael Notorangelo | Psychiatry & Neurology | 229 E 3rd St, Harbor Springs, MI 49740 | 2007-04-06 |
| 1437240066 | Timothy I Bondy Inc | Physical Therapist | 1171 W Conway Rd, Harbor Springs, MI 49740 | 2006-09-27 |
| 1306861323 | Gregory Paul Heintschel | Dentist | 3434 M-119, Suite B Michigan Community Dental Clinics Inc, Harbor Spings, MI 49740 | 2006-07-12 |
| 1376501163 | Thomas D. Loomis | Family Medicine | 8881 M-119, Harbor Springs, MI 49740 | 2006-05-02 |
| 1477638823 | Michael Henry Yff | Family Medicine | 115 E Third St, Harbor Springs, MI 49740-0006 | 2006-10-26 |
| 1588770994 | Paul Kaplan | Dentist | 771 State St, Harbor Springs, MI 49740-1134 | 2006-08-21 |
| Find all providers in zip 49740 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544703 | Rachel Joan Burmeister | Nurse Practitioner | 8881 M 119, Harbor Springs, MI 49740-9479 | 2019-08-25 |
| 1295144582 | Julie Edwards | Nurse Practitioner | 3434 M 119 Ste C, Harbor Springs, MI 49740-9373 | 2014-08-12 |
| 1295035244 | Jean M. Mcdonough | Nurse Practitioner | 3434 M 119, Suite C, Harbor Springs, MI 49740-9373 | 2010-10-25 |
| 1184868762 | Rita Nichole Balistreri | Nurse Practitioner | 8881 M 119, Harbor Springs, MI 49740-9586 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | HARBOR SPRINGS |
| Zip Code | 49740 |
Please comment or provide details below to improve the information on KIMBERLY SUE 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.