HOLLY CLARK (NPI# 1437623980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437623980 |
| Entity Type | Individual |
| Full Name | HOLLY CLARK |
| Practice Address |
2316 Walker Building Auburn University AL 36849-0001 |
| Mailing Address |
331 Genelda Ave # 6 Auburn AL 36832-4637 |
| Practice Telephone | 2568749112 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | S12311 | AL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962667816 | Holly Ann Clark | Physical Therapist | 5300 Northgate Dr, Bethlehem, PA 18017-9436 | 2008-07-21 |
| 1629256185 | Holly Ann Clark | Counselor | 220 E First Ave Extension, Lexington, NC 27292 | 2008-02-07 |
| 1205823093 | Holly A Clark | Nurse Practitioner | 2320 High St, Blue Island, IL 60406-2426 | 2005-10-05 |
| 1538630223 | Holly Lyn Clark | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2018-12-06 |
| 1427539568 | Holly Clark | Pharmacist | 110 S 9th Ave, Yakima, WA 98902-3315 | 2018-08-27 |
| 1750732285 | Holly Marie Clark | Dentist | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2016-06-27 |
| 1689807349 | Holly D. Clark | Case Manager/Care Coordinator | 2100 Comer Ave, Columbus, GA 31904-8725 | 2009-08-28 |
| 1447409446 | Holly Heist Meskimen Clark | Physician Assistant | 115 Sunnyside Ave, Granger, WA 98932 | 2008-09-15 |
| 1346453727 | Holly Michelle Clark | Psychiatry & Neurology | 410 University Parkway, Suite 2300, Aiken, SC 29801-6807 | 2007-05-08 |
| 1376639047 | Holly Clark | Internal Medicine | 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1348 | 2006-10-04 |
| Street Address |
2316 WALKER BUILDING |
| City | AUBURN UNIVERSITY |
| State | AL |
| Zip Code | 36849-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538623202 | James Robert Holland IIi | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-28 |
| 1821552548 | Mariafernanda Rivas | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-27 |
| 1861966046 | Alec Ryne Raley | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-21 |
| 1841764388 | Hayden Lee | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1750855292 | Savannah Grace Fowler | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1669946109 | Alexa Filley | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1487128922 | Rachel Newton | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1295209732 | Madeline Lynne Sheffield | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1104390640 | Grace Coefield | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1013481555 | Alec Wesolowski | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659870624 | Tyler Blake Griffin | Specialist/Technologist | 392 South Donahue Drive, Auburn, AL 36849 | 2018-02-06 |
| 1922539543 | Nadia Bhuiyan | Psychologist | 101 Cary Hall, Auburn University, Auburn, AL 36849 | 2017-03-24 |
| 1841309788 | Paula Merchant | Physical Therapist | 349 S Donahue Drive, Auburn University, AL 36849 | 2006-08-30 |
| 1548770589 | Matthew Jordan Vickers | Pharmacist | 2155 Walker Building, Auburn, AL 36849 | 2017-10-04 |
| 1154399863 | Michael D Goodlett | Family Medicine | 349 South Donahue Drive, Suite 200, Auburn, AL 36849 | 2006-03-09 |
| 1487270492 | East Alabama Ambulatory Surgery Center, LLC | Clinic/Center | 900 Camp Road, Auburn, AL 36849-0001 | 2020-06-25 |
| 1457906968 | Richard Seth Blankenship | Pharmacist | 132 East Thach Avenue 2155 Walker Building, Auburn University, AL 36849-0001 | 2019-08-02 |
| 1053976704 | Analise Mary Williams | Speech-Language Pathologist | 1119 Haley Center, Auburn University, AL 36849-0001 | 2019-05-08 |
| 1851865240 | Olivia Mcneal | Student in an Organized Health Care Education/Training Program | 23116 Walker Building, Auburn University, AL 36849-0001 | 2019-01-18 |
| 1083188536 | Nicholas Degrood | Student in an Organized Health Care Education/Training Program | 2316 Walker Bld, Auburn University, AL 36849-0001 | 2019-01-17 |
| Find all providers in zip 36849 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851865240 | Olivia Mcneal | Student in an Organized Health Care Education/Training Program | 23116 Walker Building, Auburn University, AL 36849-0001 | 2019-01-18 |
| 1083188536 | Nicholas Degrood | Student in an Organized Health Care Education/Training Program | 2316 Walker Bld, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1386118826 | Mustabshira Nisar | Student in an Organized Health Care Education/Training Program | 2316 Walker Bldg, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1538623202 | James Robert Holland IIi | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-28 |
| 1821552548 | Mariafernanda Rivas | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-27 |
| 1861966046 | Alec Ryne Raley | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-21 |
| 1669946042 | Sean Andrew Roberts | Student in an Organized Health Care Education/Training Program | 2316 Walker Bldg, Auburn University, AL 36849-0001 | 2019-01-18 |
| 1841764388 | Hayden Lee | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1750855292 | Savannah Grace Fowler | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1669946109 | Alexa Filley | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| Find all providers in AUBURN UNIVERSITY | ||||
| City | AUBURN UNIVERSITY |
| Zip Code | 36849 |
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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.