MEGHAN AUBREY CLARK (NPI# 1427684968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427684968 |
| Entity Type | Individual |
| Full Name | MEGHAN AUBREY CLARK |
| Credential | ARNP |
| Practice Address |
1400 Pottery Ave Port Orchard WA 98366-3711 |
| Practice Telephone | 3608955000 |
| Practice Fax Number | 3608955034 |
| Mailing Telephone | 3608955000 |
| Mailing Fax Number | 3608955034 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP61034799 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ARNP LICENSE | AP61034799 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720612377 | Meghan Clark | Occupational Therapist | 2956 152nd Ave Ne Apt 360, Redmond, WA 98052-5362 | 2020-02-22 |
| 1558873273 | Meghan Rebecca Clark | Speech-Language Pathologist | 319 Ferry St, Brookport, IL 62910-2891 | 2017-11-03 |
| 1477855633 | Meghan Ann Clark | Nurse Practitioner | 698 Mullica Hill Rd, Ste 300, Mullica Hill, NJ 08062 | 2010-11-21 |
| 1578069878 | Meghan Ruth Clark | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2018-04-04 |
| 1487190617 | Meghan Clark | Specialist/Technologist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2017-01-11 |
| 1598131864 | Meghan E Clark | Physical Therapist | 820 Sir Thomas Ct, Harrisburg, PA 17109-4839 | 2015-08-20 |
| 1396011953 | Meghan Clark | Social Worker | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2012-03-28 |
| 1043418197 | Meghan Mccabe Clark | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2007-07-10 |
| Street Address |
1400 POTTERY AVE |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992780605 | Dee Ann Hackett Taylor | Family Medicine | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2005-12-14 |
| 1992270813 | Jarred Zacher | Physician Assistant | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2018-10-07 |
| 1851898548 | Eilidh V.b.b Thylin | Physician Assistant | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2018-04-09 |
| 1407364805 | Rebekah Foelker | Physical Therapist | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2018-01-19 |
| 1245757087 | Aaron T Croft | Occupational Therapist | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2017-08-23 |
| 1053677815 | Barbara T Hepfer | Nurse Practitioner | 1400 Pottery Ave, Oc Med, Port Orchard, WA 98366-3711 | 2012-04-05 |
| 1013208099 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2011-04-26 |
| 1912207788 | Donald Tracy | Pharmacist | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2010-10-27 |
| 1851529952 | Brad R. Mackinnon | Family Medicine | 1400 Pottery Ave, Group Health, Port Orchard, WA 98366-3711 | 2009-06-26 |
| 1568647626 | Barbara Jean Holloway | Physician Assistant | 1400 Pottery Ave, Group Health, Port Orchard, WA 98366-3711 | 2008-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003952870 | Kristen M Childress | Nurse Practitioner | 2431 Anderson Ave, Port Orchard, WA 98366-1302 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008716 | Matthew M. Hesse | Nurse Practitioner | 202 62nd Ave Ne, Tacoma, WA 98422-4018 | 2020-09-16 |
| 1770198400 | Irene Wambui Kamau | Nurse Practitioner | 36244 23rd Pl S, Federal Way, WA 98003-8369 | 2020-09-10 |
| 1841835782 | Toni M Keel | Nurse Practitioner | 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 | 2019-11-14 |
| 1821642026 | Elizabeth Nicole Firmin | Nurse Practitioner | 317 Ne Thornton Pl, Seattle, WA 98125-8020 | 2019-07-26 |
| 1841852043 | Mariana S Neeway | Nurse Practitioner | 112 Columbia Point Dr Ste 101, Richland, WA 99352-4390 | 2019-07-08 |
| 1023575172 | Amber Elexis Marsh | Nurse Practitioner | 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 | 2019-02-25 |
| 1235696568 | Premier Diabetes Care, Pllc | Nurse Practitioner | 6101 123rd Ave Se Unit B, Snohomish, WA 98290-5694 | 2019-02-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1518434158 | Deborah Christine Tillman | Nurse Practitioner | 1064 Sommerville Rd., Chimacum, WA 98325 | 2018-11-01 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
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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.