CLARK FAMILY PRACTICE, PLLC (NPI# 1396250155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396250155 |
| Entity Type | Organization |
| Organization Name | CLARK FAMILY PRACTICE, PLLC |
| Practice Address |
3443 Dickerson Pike Ste 660 Nashville TN 37207-2519 |
| Practice Telephone | 6159881109 |
| Practice Fax Number | 9497987514 |
| Mailing Telephone | 6159881109 |
| Mailing Fax Number | 9497987514 |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | RUSSELL CLARK (OWNER) |
| Authorized Official Telephone | 6159881109 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
20179 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q034840 | 05 |
| Street Address |
3443 DICKERSON PIKE STE 660 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37207-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548641087 | Russell L Clark | Nurse Practitioner | 3443 Dickerson Pike Ste 660, Nashville, TN 37207-2519 | 2015-06-10 |
| 1356890982 | Sarah King | Nurse Practitioner | 3443 Dickerson Pike Ste 660, Nashville, TN 37207 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993982 | Shanika Ostine | Non-emergency Medical Transport (VAN) | 4200 Polk Forest Circle, Nashville, TN 37207 | 2014-04-28 |
| 1285052456 | Roman Weber | Occupational Therapist | 103 Arcaro Place, Brentwood, TN 37207 | 2014-04-03 |
| 1255609475 | Thomas' Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 129 Mccarthy Park Lane, Nashville, TN 37207 | 2011-12-02 |
| 1770868895 | Focus Medical Clinic, Pllc | Social Worker | 213w Maplewood Lane, Suite 400, Nashville, TN 37207 | 2011-10-20 |
| 1346535895 | Jazzee Adult Day Services | Home Health | 715 Joseph Ave, Nashville, TN 37207 | 2011-06-13 |
| 1740588938 | Adme | Durable Medical Equipment & Medical Supplies | 3443 Dickerson Pike, Skyline Medical Plaza Suit G-20, Adme, Nashville, TN 37207 | 2011-03-11 |
| 1942508924 | Shameka Dowell | In Home Supportive Care | 2422 Grover Street, Nashville, TN 37207 | 2011-03-01 |
| 1780996546 | Lindsey Marie Blalock | Nurse Practitioner | 3005 Ambrose Ave, Nashville, TN 37207 | 2010-07-09 |
| 1518293737 | Questcare Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 721 Roman Dr., Nashville, TN 37207 | 2009-10-22 |
| 1134330913 | Chariot Transportation, Inc. | Non-emergency Medical Transport (VAN) | 1302 Baptist World Center Dr., Nashville, TN 37207 | 2007-05-24 |
| Find all providers in zip 37207 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598270746 | Wellness for Life | Clinic/Center | 1749 State Road 46, Nashville, IN 47448 | 2017-12-11 |
| 1063946796 | Hope Health and Healing Clinic | Clinic/Center | 1375 Old Hickory Blvd, Nashville, TN 37207-1423 | 2017-04-19 |
| 1881132728 | Nashville General Hospital | Clinic/Center | 515 Madison St, Apt.424, Nashville, TN 37208-1621 | 2017-02-10 |
| 1386197408 | Ourhealth LLC | Clinic/Center | 1415 Murfreesboro Pike, Suite 228, Nashville, TN 37217-2829 | 2016-07-25 |
| 1245600618 | Pruitt's Discount Pharmacy, LLC | Clinic/Center | 811 Dickerson Pike, C, Nashville, TN 37207-5632 | 2015-09-29 |
| 1437546694 | Missionpoint Services, LLC | Clinic/Center | 505 Mainstream Dr, Nashville, TN 37228-1208 | 2015-04-24 |
| 1376945352 | Nashville Integrated Medicine | Clinic/Center | 2933 Berry Hill Dr, Ste A, Nashville, TN 37204-3126 | 2014-09-21 |
| 1093131559 | Sameerah Ali Mobile Med Pllc | Clinic/Center | 1602 8th Ave S, Nashville, TN 37203-5009 | 2014-03-07 |
| 1245671114 | Genesis Weight and Age Management | Clinic/Center | 2207 Crestmoor Rd, Ste 204, Nashville, TN 37215-2037 | 2013-07-08 |
| 1447530480 | Provide Locums Healthcare Providers LLC | Clinic/Center | 41 Peabody St, Nashville, TN 37210-2125 | 2011-08-23 |
| Find all providers in NASHVILLE | ||||
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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.