KRISTA NOEL CLARK (NPI# 1457811515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457811515 |
| Entity Type | Individual |
| Full Name | KRISTA NOEL CLARK |
| Credential | DO |
| Practice Address |
375 Dixmyth Ave Cincinnati OH 45220-2475 |
| Mailing Address |
5740 Forsythia Ct Covington KY 41015-4223 |
| Practice Telephone | 5138622563 |
| Mailing Telephone | 8594863405 |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2019-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073687224 | Krista M Clark | Specialist | 810 Hadley Ave, Old Hickory, TN 37138-3121 | 2006-11-20 |
| 1114935301 | Krista Jean Clark | Physical Therapist | 210 E Main St Ste 111, Midway, UT 84049-6828 | 2006-08-03 |
| 1609303312 | Krista Clark | Marriage & Family Therapist | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2017-05-12 |
| 1073048567 | Krista Clark | Dietitian, Registered | 7700 University Dr, Fans, West Chester, OH 45069-2505 | 2017-04-22 |
| 1629336490 | Krista Renae Clark | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2012-04-30 |
| 1962727743 | Krista M Clark | Family Medicine | 2791 N Washington St, Hedrick Family Care, Chillicothe, MO 64601-2902 | 2010-04-05 |
| 1023347481 | Krista Clark | Dietitian, Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2009-12-15 |
| 1053352187 | Krista Carrie Clark | Dietitian, Registered | 450 E 23rd St, Fremont, NE 68025-2303 | 2006-06-09 |
| Street Address |
375 DIXMYTH AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45220-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853203 | Jonathan A Bernfeld | Psychiatry & Neurology | 375 Dixmyth Ave, Cincinnati, OH 45220 | 2005-07-07 |
| 1275140006 | Rebekah Alyson Pike | Nurse Practitioner | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-09-25 |
| 1033721147 | Joedaycya Sanders | Nurse Practitioner | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-19 |
| 1609487040 | Sarthak Aryal | Internal Medicine | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-10 |
| 1922619345 | Vivek Sharma | Internal Medicine | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-10 |
| 1821608159 | Mohamad El Labban | Internal Medicine | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-02 |
| 1891311700 | Kelsey Leigh Prickel | Nurse Anesthetist, Certified Registered | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-06-17 |
| 1891310819 | Eric Blake Slusher | Registered Nurse | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-06-15 |
| 1063037521 | Jena Michelle Bolte | Registered Nurse | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-06-10 |
| 1851910921 | Guillermo Alexander Asmar Vargas | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414558 | Gerthlan LLC | Home Health | 3220 Jefferson Avenue, Suite 21, Cincinnati, OH 45220 | 2020-10-15 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1982262648 | Frank Hiroshi Harris | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Avenue Dept Of, Internal Medicine Residency, Cincinnati, OH 45220 | 2019-05-29 |
| 1184121303 | Patina E Nelson | Counselor | 311 Martin Luther King Dr W, Cincinnati, OH 45220 | 2018-04-13 |
| 1558701540 | Mohd Amer Alsamman | Internal Medicine | 375 Dixmyth Avenue - Good Samaritan Hospital, 3rd Floor, Medical Education, Cincinnati, OH 45220 | 2013-07-05 |
| 1104057868 | Dorothy Kimberly Grizzell | Occupational Therapy Assistant | 440 Lafayette Ave., Cincinnati, OH 45220 | 2009-07-29 |
| 1184865651 | Maria C Nicholson | Dietitian, Registered | 3219 Clifton Avenue, Suite 325, Cincinnati, OH 45220 | 2009-03-13 |
| 1508066507 | Amy Elizabeth Banks | Physical Therapist | Cincinnati Va Medical Center 3200 Vine Street, Cincinnati, OH 45220 | 2007-07-19 |
| 1821213968 | Ann Gelke | Psychiatry & Neurology | 3447 Cornell Pl, Cincinnati, OH 45220 | 2007-04-16 |
| 1538283627 | Manish Srivastava | Internal Medicine | 375 Dixmyth Ave 8th Floor, Cincinnati, OH 45220 | 2007-03-16 |
| Find all providers in zip 45220 | ||||
| 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 |
|---|---|---|---|---|
| 1871190546 | Philip Maxwell Wienkamp | Student in an Organized Health Care Education/Training Program | 6194 Oakhaven Dr, Cincinnati, OH 45233-4444 | 2020-10-06 |
| 1407463441 | Amanda Catherine Winner | Student in an Organized Health Care Education/Training Program | 3874 Ivanhoe Ave, Cincinnati, OH 45212-3513 | 2020-09-24 |
| 1649884198 | Lydia Wolferst | Student in an Organized Health Care Education/Training Program | 7892 Pinemeadow Ln, Cincinnati, OH 45224-1226 | 2020-09-02 |
| 1821608761 | Rachel Elizabeth Makoski | Student in an Organized Health Care Education/Training Program | 4856 Forest Meadows Ct, Cincinnati, OH 45244-1275 | 2020-08-05 |
| 1992326961 | Stephanie Rosanna Beasley | Student in an Organized Health Care Education/Training Program | 60 Gambier Cir, Cincinnati, OH 45218-1427 | 2020-04-30 |
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1457980096 | Brian Loring | Student in an Organized Health Care Education/Training Program | 3744 Herbert Ave, Cincinnati, OH 45211-5437 | 2020-04-06 |
| 1831728476 | Allison Rose Hamad | Student in an Organized Health Care Education/Training Program | 231 Sabin Way Ml 0558 Ucmc Department of Surgery, Cincinnati, OH 45267-0001 | 2020-04-06 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45220 |
Please comment or provide details below to improve the information on KRISTA NOEL 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.