LAURIE BETH CLARK (NPI# 1407490246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407490246 |
| Entity Type | Individual |
| Full Name | LAURIE BETH CLARK |
| Credential | CNP |
| Practice Address |
17009 E Cheyenne Dr Independence MO 64056 |
| Mailing Address |
17009 E Cheyenne Dr Independence MO 64056-1516 |
| Practice Telephone | 8163372192 |
| Mailing Telephone | 8163372192 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2019042366 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801864178 | Laurie C Clark | Family Medicine | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2006-03-10 |
| 1619382082 | Laurie Kathleen Clark | Dental Hygienist | 777 E Galveston St, Chandler, AZ 85225-8273 | 2014-06-24 |
| 1467790295 | Laurie A Clark | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2013-01-29 |
| 1023388014 | Laurie Anne Clark | Physician Assistant | 95 Collier Rd Nw Ste 6015, Atlanta, GA 30309-1750 | 2012-01-06 |
| 1285779538 | Laurie Clark | Speech-Language Pathologist | 144 Canal St, Nashua, NH 03064-2886 | 2007-02-21 |
| Street Address |
17009 E CHEYENNE DR |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376055004 | Jenny Vivian Wilson | Registered Nurse | 17301 East 24 Hwy, Independence, MO 64056 | 2017-11-03 |
| 1336423623 | Susann Nance | Pharmacist | 17811 E 24 Hwy, Independence, MO 64056 | 2011-10-05 |
| 1942303409 | Patrick J Morris | Dentist | 613 Se 5th St, Lees Summit, MO 64056 | 2006-09-07 |
| 1487147401 | Stephanie Scott | Nurse Practitioner | 17301 E Us Highway 24, Independence, MO 64056 | 2018-06-13 |
| 1184639114 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2006-07-29 |
| 1518376748 | Brendon Magruder | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2014-08-13 |
| 1689941841 | Lochna Patel | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2011-11-16 |
| 1467734418 | Samantha Marie Scogn | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2011-09-15 |
| 1457505950 | Edwin M. Myers, D.d.s., P.C. | Clinic/Center | 18110 E Us Highway 24, Ste. A, Independence, MO 64056-1170 | 2008-11-11 |
| 1679546154 | Edwin M Myers | Dentist | 18110 E 24 Hwy, Independence, MO 64056-1170 | 2006-02-07 |
| Find all providers in zip 64056 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1194040105 | Jennifer Lynn Aiken | Nurse Practitioner | C/o Centerpoint Medical Center, 19600 E 39th Street, Independence, MO 64057-2301 | 2010-04-01 |
| 1689180051 | Emily Alexeev | Nurse Practitioner | 6100 Rockside Woods Blvd N Ste 425, Independence, OH 44131-2340 | 2017-12-21 |
| 1154727568 | Debra Rita Broering | Nurse Practitioner | 6800 Rockside Rd, Unit A, Independence, OH 44131-2383 | 2014-11-12 |
| 1982863718 | Prompt Medical Clinic Inc | Nurse Practitioner | 1325 S Noland Rd Ste C, Independence, MO 64055-1346 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414020 | Scarlett Long | Nurse Practitioner | 590 Nw 1751st Rd, Kingsville, MO 64061-9169 | 2020-10-12 |
| 1841897394 | Lara Kang | Nurse Practitioner | 7354 S Yorkshire Dr, Saint Louis, MO 63123-2111 | 2020-10-07 |
| 1124634373 | Taylor Eckhoff | Nurse Practitioner | 2733 Gillham Rd Apt 1n, Kansas City, MO 64108-3136 | 2020-09-22 |
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1063039311 | Gavin Lee Flentge | Nurse Practitioner | 5658 Hwy E, Perryville, MO 63775-8405 | 2020-07-02 |
| 1134755911 | Corey Allen Blassie | Nurse Practitioner | 122 Heron Ct, Saint Peters, MO 63376-5038 | 2020-03-12 |
| 1851926638 | Deborah J Thomson-diaz | Nurse Practitioner | 15357 Lovers Ln, Excelsior Springs, MO 64024-8517 | 2020-03-11 |
| 1104459833 | Zakiya S Clemoens | Nurse Practitioner | 629 W 101st Ter, Kansas City, MO 64114-4236 | 2020-02-21 |
| 1265064703 | Kelsey Elizabeth Ortmann | Nurse Practitioner | 4962 Tyrolean Ave, Saint Louis, MO 63109-3760 | 2020-02-11 |
| 1730725987 | Chelsea Amack | Nurse Practitioner | 9011 N Byfield Ave, Kansas City, MO 64154-1838 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64056 |
Please comment or provide details below to improve the information on LAURIE BETH 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.