JULIA CLARK (NPI# 1396220760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396220760 |
| Entity Type | Individual |
| Full Name | JULIA CLARK |
| Credential | RN |
| Practice Address |
2445 Rosendale Rd Niskayuna NY 12309-1309 |
| Practice Telephone | 5183773123 |
| Practice Fax Number | 5183771098 |
| Mailing Telephone | 5183773123 |
| Mailing Fax Number | 5183771098 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
718766-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376747 | Julia Elizabeth Clark | Specialist/Technologist | 54 Evergreen Dr, Tolland, CT 06084-3117 | 2019-10-07 |
| 1134288400 | Julia Marie Clark | Occupational Therapist | 621 High Ridge Rd, Roselle, IL 60172-1407 | 2006-12-06 |
| 1558856773 | Julia Clark | Community Health Worker | 557 W Washington St, Burns, OR 97720-1441 | 2018-06-29 |
| 1215314489 | Julia Clark | Occupational Therapist | 912 S Gay St, Suite 805, Knoxville, TN 37902-1814 | 2015-04-27 |
| 1104173780 | Julia Ann Clark | Occupational Therapy Assistant | 3801 Old Bruceville Rd, Tru Rehab, Vincennes, IN 47591-3889 | 2012-08-13 |
| 1861416398 | Julia Clark | Nurse Anesthetist, Certified Registered | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2006-07-27 |
| Street Address |
2445 ROSENDALE RD |
| City | NISKAYUNA |
| State | NY |
| Zip Code | 12309-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255681698 | Stacey Murphy | Registered Nurse | 2445 Rosendale Rd, Niskayuna, NY 12309-1309 | 2012-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1902396351 | Erica S Hill | Occupational Therapist | 2246 Van Rensselaer Dr, Niskayuna, NY 12309 | 2018-05-11 |
| 1588107015 | Orthopedicsny, LLP | Orthopaedic Surgery | 1760 Union St, Suite 100, Schenectady, NY 12309 | 2016-12-01 |
| 1932589983 | Patricia P Primomo | Dentist | 2310 Nott Street East, Niskayuna, NY 12309 | 2015-06-04 |
| 1386074268 | Bernard P Kinlan | Social Worker | 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 | 2013-11-14 |
| 1255680344 | Rudy Nydegger Phd, Abpp, Pllc | Psychologist | 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 | 2012-09-05 |
| 1407104094 | Rachelle Ann Kehoe | Specialist | 950 St. David's Lane, Schenectady, NY 12309 | 2012-08-29 |
| 1073882726 | Kristina Lynn Deangelo | Speech-Language Pathologist | 1872 Hexam Road West, Niskayuna, NY 12309 | 2011-12-27 |
| 1467720136 | Jjm Chiropractic, LLC | Chiropractor | 1756 Union St., Niskayuna, NY 12309 | 2011-12-08 |
| 1659658474 | Richard W Glover | Dentist | 2310 Nott St. East, Niskayuna, NY 12309 | 2011-11-08 |
| Find all providers in zip 12309 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417405382 | Arika Zimmerman | Registered Nurse | 880 Westholm Rd, Niskayuna, NY 12309-6539 | 2016-09-20 |
| 1144591132 | Janet Gay Dibiase | Registered Nurse | 2495 Rosendale Rd, Niskayuna, NY 12309-1309 | 2012-01-23 |
| 1225662414 | Genevieve Mailloux | Registered Nurse | 1626 Balltown Rd, Niskayuna, NY 12309-2397 | 2020-02-26 |
| 1578106605 | Heidi E. Chipman | Registered Nurse | 1626 Balltown Rd, Niskayuna, NY 12309-2304 | 2019-10-22 |
| 1891235602 | Loretta Jeanne Brzac | Registered Nurse | 1100 Cornelius Ave, Niskayuna, NY 12309-5943 | 2017-02-27 |
| 1356891204 | Colleen Shamberger | Registered Nurse | 1100 Cornelius Ave, Niskayuna, NY 12309-5943 | 2016-10-04 |
| 1649517343 | Katrina Cutting | Registered Nurse | 1100 Cornelius Ave, Niskayuna, NY 12309-5943 | 2013-01-15 |
| 1104161371 | Linda Mary Dall | Registered Nurse | 1626 Balltown Rd, Niskayuna, NY 12309-2304 | 2012-11-29 |
| 1750630034 | Laura Anne Henniger | Registered Nurse | 897 Birchwood Ln, Niskayuna, NY 12309-3111 | 2012-09-03 |
| 1154694453 | Margret K Riehl | Registered Nurse | 2566 Balltown Rd, Niskayuna, NY 12309-1002 | 2012-02-16 |
| Find all providers in NISKAYUNA | ||||
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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.