MRS. KRISTIN MARIE CLARK (NPI# 1407106032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407106032 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN MARIE CLARK |
| Credential | MS SPECIAL EDUCATION |
| Practice Address |
41 Colebrook Dr Rochester NY 14617-2211 |
| Mailing Address |
17 Varden St Rochester NY 14609-4804 |
| Practice Telephone | 5854674567 |
| Practice Fax Number | 5854676973 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1820739 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619391059 | Kristin Clark | Registered Nurse | 1229 S. Wheeling Way, Aurora, CO 80012 | 2014-02-05 |
| 1336466283 | Kristin Dumboski Clark | Dentist | 5401 John F Kennedy Blvd, Suite H, North Little Rock, AR 72116-6756 | 2010-04-30 |
| 1164745980 | Kristin Clark | Acupuncturist | 424 Wayne Road, Rochelle, IL 61068-9063 | 2010-03-08 |
| 1932177508 | Kristin Clark | Family Medicine | 5018 Dorsey Hall Dr, Suite 104, Ellicott City, MD 21042-7855 | 2006-03-09 |
| 1982255790 | Kristin Ann Clark | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2019-09-23 |
| 1982252011 | Kristin Michelle Clark | Licensed Practical Nurse | 997 Saint Paul St, Rochester, NY 14605-1051 | 2019-09-02 |
| 1285103762 | Kristin C Clark | Radiology Practitioner Assistant | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2018-11-14 |
| 1275993339 | Kristin Tai Clark | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Suite 100, Long Beach, CA 90804 | 2016-03-02 |
| 1174918213 | Kristin Clark | Behavioral Analyst | 6 Strathmore Rd, Natick, MA 01760-2419 | 2015-04-06 |
| 1164764585 | Kristin Elise Clark | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2013-03-24 |
| Street Address |
41 COLEBROOK DR |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14617-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194938498 | Stacia Paganelli | Speech-Language Pathologist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2007-05-07 |
| 1588099386 | Colleen O'keefe | Occupational Therapy Assistant | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2013-09-11 |
| 1962745307 | Lindsay Jo Delangelo Thompson | Speech-Language Pathologist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2013-04-04 |
| 1568700300 | Melissa Ann Eggert | Psychologist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2013-01-29 |
| 1568706430 | Jamie Lynn Vogt | Specialist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2012-11-16 |
| 1780938001 | Lori Nowicky | Specialist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2012-11-08 |
| 1578817284 | Meredith Anne Nevins | Specialist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2012-11-01 |
| 1225381932 | Kristine Chapman | Specialist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2012-10-18 |
| 1942553649 | Dianne Brady | Specialist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2012-10-18 |
| 1750634564 | Elena Augustus | Specialist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625148 | Taylor Barrett | Speech-Language Pathologist | 350 Cooper Road, Rochester, NY 14617 | 2019-12-04 |
| 1326517608 | Matthew Richard Vandermeid | Student in an Organized Health Care Education/Training Program | 161 Sethland Dr., Rochester, NY 14617 | 2018-11-16 |
| 1174031652 | Joseph Tshamala | Chiropractor | 2164 Hudson Ave., Rochester, NY 14617 | 2018-01-18 |
| 1043585599 | Shannon Nichole Fridd | Speech-Language Pathologist | 350 Cooper Rd., Rochester, NY 14617 | 2012-03-16 |
| 1861777112 | Todd M Schoen | Pharmacist | 525 Titus Avenue, Rochester, NY 14617 | 2011-10-19 |
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1407135445 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 404 Rogers Pkwy, Rochester, NY 14617 | 2011-08-09 |
| 1316226350 | Easter Seals of Ny, Inc | Intermediate Care Facility, Mental Illness | 302 Daley Boulevard, Rochester, NY 14617 | 2011-08-09 |
| 1215225602 | Alberto Ramon Cebollero | Psychologist | 402 Rogers Parkway, The Kessler Center, Rochester, NY 14617 | 2011-07-19 |
| 1487893269 | Stepping Stones Learning Center | Early Intervention Provider Agency | 2111 Hudson Ave, Rochester, NY 14617 | 2009-02-18 |
| Find all providers in zip 14617 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518526128 | Jill Russell Pavone | Specialist | 1850 Buffalo Rd Ste 200, Rochester, NY 14624-1550 | 2019-06-07 |
| 1205390887 | Kristy Lynn Shields | Specialist | 640 Jefferson Ave, Rochester, NY 14611-3548 | 2019-01-28 |
| 1962986364 | Allison Anne Skwirz | Specialist | 152 Barrington St Apt 108, Rochester, NY 14607-2957 | 2018-09-20 |
| 1811478373 | University Orthopaedic Associates of Rochester | Specialist | 2300 W Ridge Rd Ste 202, Rochester, NY 14626-2801 | 2018-08-23 |
| 1619457496 | University Orthopaedic Associates of Rochester | Specialist | 1000 South Ave Rm H-210, Rochester, NY 14620-2733 | 2018-08-21 |
| 1891201257 | Kate Elizabeth Huggler-rubin | Specialist | 247 Wellington Ave, Rochester, NY 14611-3039 | 2017-12-21 |
| 1194259580 | Jenny Elahi | Specialist | 99 Eastgate Dr, Rochester, NY 14617-4136 | 2017-04-12 |
| 1326591421 | Rochester Endovascular Pllc | Specialist | 1892 Winton Rd S, Rochester, NY 14618-3996 | 2016-07-26 |
| 1912352329 | Cesely Warren | Specialist | 82 Kafana Dr, Rochester, NY 14612-2718 | 2016-05-04 |
| 1043685472 | Krista Gehm | Specialist | 2400 S Clinton Ave Ste 130, Rochester, NY 14618-2668 | 2015-12-10 |
| Find all providers in ROCHESTER | ||||
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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.