LARA CLARK (NPI# 1447684832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447684832 |
Entity Type | Individual |
Full Name | LARA CLARK |
Practice Address |
1112 S Cushman Ave Tacoma WA 98405-3631 |
Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
Practice Telephone | 2535932144 |
Practice Fax Number | 2532724125 |
Mailing Telephone | 2067643335 |
Mailing Fax Number | 2067640489 |
Enumeration Date | 2013-08-21 |
Last Update Date | 2013-08-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP60376142 | WA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972133395 | Lara Clark | Counselor | 600 6th St Nw Ste 9, Great Falls, MT 59404-2449 | 2020-01-24 |
1992767545 | Lara Margaret Clark | Dentist | 2617 S Horner Blvd, Sanford, NC 27332-8032 | 2006-04-06 |
1063852887 | Lara M Clark | Physician Assistant | 605 E Badillo St, Covina, CA 91723-2846 | 2013-06-25 |
Street Address |
1112 S CUSHMAN AVE |
City | TACOMA |
State | WA |
Zip Code | 98405-3631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063410926 | Janitzia Schurch Diaz | Internal Medicine | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2005-07-13 |
1437759115 | Isis Judith Lozano Vazquez | Nurse Practitioner | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2020-10-30 |
1700498607 | Zachary Michael Mangarin | Dental Hygienist | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2020-08-21 |
1679118913 | Joselyne Arriola Rangel | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2019-11-11 |
1710535976 | Isaura Torres | Nurse Practitioner | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2019-08-30 |
1780242610 | Veronika Magali Tapia Giron | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2019-06-05 |
1992273783 | Heather M Rotter | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2018-11-09 |
1588147524 | Sea - Mar Community Health Center | Counselor | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2018-09-14 |
1861989071 | Monica Varela Rodriguez | Dentist | 1112 S Cushman Ave, Tacoma, WA 98405 | 2018-04-13 |
1679071245 | Nicole Gioiosa | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2018-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
Find all providers in zip 98405 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942435706 | Teresa Michelle Poole | Nurse Practitioner | 9040a Jackson Ave Madigan Army Medical Center Jblm, Tacoma, WA 98431-6307 | 2009-05-22 |
1376757906 | Keri Orozco | Nurse Practitioner | 603 S J St, Tacoma, WA 98405-4159 | 2007-05-10 |
1265571871 | Margaret Joan Williams | Nurse Practitioner | Of Pediatrics, Mamc, Tacoma, WA 98431-0001 | 2007-02-06 |
1154306504 | Eileen T Huhmann | Nurse Practitioner | 690 A St, Mccord Afb, Tacoma, WA 98438-1303 | 2005-12-08 |
1154964815 | Alexis Christine Themelis Balser | Nurse Practitioner | 11601 Pacific Ave S, Tacoma, WA 98444-5425 | 2019-10-24 |
1134638976 | Denise Quinn Parra | Nurse Practitioner | 311 S L St, Tacoma, WA 98405-3720 | 2017-09-25 |
1376916213 | Jennifer Steel | Nurse Practitioner | 9040 Jackson Ave, Tacoma, WA 98431-3089 | 2015-10-31 |
1659773109 | Allyson Marie Stoker | Nurse Practitioner | 311 S L St, Tacoma, WA 98405-3720 | 2014-09-16 |
1730517244 | Courtney Ann Weyand | Nurse Practitioner | 311 S L St, Tacoma, WA 98405-3720 | 2013-10-18 |
1790119675 | Raquel Marisol Bolender | Nurse Practitioner | 1530 S Union Ave, Tacoma, WA 98405-1954 | 2013-08-27 |
Find all providers in TACOMA |
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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.