MRS. REBECCA SUE CLARK (NPI# 1477669513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477669513 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA SUE CLARK |
| Credential | CRNA, MS, BSN |
| Practice Address |
1015 Union St Boone IA 50036-4821 |
| Mailing Address |
411 Ashwood Ct Boone IA 50036-7190 |
| Practice Telephone | 5153701054 |
| Mailing Telephone | 5153701054 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 113814 | IA | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 074139 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978833 | Rebecca Clark | Massage Therapist | 244 Madison Ave # 391, New York, NY 10016-2817 | 2020-09-30 |
| 1184130759 | Rebecca Lee Clark | Registered Nurse | 2435 Kimberly Rd Ste 10n, Bettendorf, IA 52722-3572 | 2017-12-19 |
| 1144761099 | Rebecca Clark | Counselor | 24401 W 39th St S, Goddard, KS 67052-8713 | 2017-03-11 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1861557563 | Rebecca Clark | Respite Care | 2703 S 37th Dr, Yuma, AZ 85364-5983 | 2006-12-25 |
| 1831112671 | Rebecca Jand Clark | Counselor | 1501 San Pedro Se (116), Albuquerque, NM 87108 | 2006-07-25 |
| 1922067859 | Rebecca A Clark | Physician Assistant | 664 N Main St, Pearson, GA 31642 | 2006-03-20 |
| 1124004700 | Rebecca Elizabeth Clark | Nurse Practitioner | 1811 State St, Nashville, TN 37203-2205 | 2005-12-15 |
| 1841811098 | Rebecca L Clark | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-04-29 |
| 1073149167 | Rebecca Maria Clark | Genetic Counselor, MS | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224-1334 | 2020-03-20 |
| Street Address |
1015 UNION ST |
| City | BOONE |
| State | IA |
| Zip Code | 50036-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051135 | Tamara S Chance | Emergency Medicine | 1015 Union St, Boone, IA 50036-4821 | 2005-05-27 |
| 1649752452 | Tessa Kleinwolterink | Occupational Therapist | 1015 Union St, Boone, IA 50036-4821 | 2018-08-29 |
| 1174987341 | Mindy Royster | Nurse Practitioner | 1015 Union St, Boone, IA 50036-4821 | 2016-04-13 |
| 1578924320 | Boone County Hospital | Clinic/Center | 1015 Union St, Boone, IA 50036-4821 | 2016-03-08 |
| 1023477486 | Kathy Ann Steffen | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2016-02-15 |
| 1639538291 | Brent Allen Drzycimski | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2016-02-11 |
| 1821499740 | Melinda Holly Altman | Nurse Practitioner | 1015 Union St, Boone, IA 50036-4821 | 2014-09-10 |
| 1528303260 | Angela Dawn Walsh | Physical Therapy Assistant | 1015 Union St, Boone, IA 50036-4821 | 2012-12-06 |
| 1750626701 | Ronald Jacob Stotts | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2012-12-03 |
| 1861737942 | Kyla Goza | Physical Therapy Assistant | 1015 Union St, Boone, IA 50036-4821 | 2012-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235639287 | Danielle A'lyce Bennett | Counselor | 1332 S Marshall St, Boone, IA 50036 | 2018-02-16 |
| 1588170567 | Melissa Joan Bartlett | Audiologist | 428 Story St, Boone, IA 50036 | 2017-12-28 |
| 1144544560 | Katherine M Dinges | Counselor | 806 7th St Unit U2, Boone, IA 50036 | 2010-03-15 |
| 1437338936 | Matthew John Sprecher | Chiropractor | 814 7th St, Boone, IA 50036 | 2007-10-31 |
| 1275662751 | Chris A Gage | Pharmacist | 310 Story Str, Boone, IA 50036 | 2007-03-02 |
| 1508919416 | Rxpert Inc | Pharmacy | 102 S Story St, Boone, IA 50036 | 2007-01-22 |
| 1376609677 | United Community School District | Local Education Agency (LEA) | 1284 U Avenue, Boone, IA 50036 | 2006-12-29 |
| 1245204692 | Renee Lynn Montag | Chiropractor | 806 7th St, Boone, IA 50036 | 2006-02-14 |
| 1316911761 | Raphael Martin Montag | Chiropractor | 806 7th St, Boone, IA 50036 | 2006-02-14 |
| 1013061753 | Boone County Transportation Service, Inc. | Bus | 328 Snedden Drive, Boone, IA 50036-0032 | 2007-01-22 |
| Find all providers in zip 50036 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942373204 | Kenneth Joel Thompson | Nurse Anesthetist, Certified Registered | 336 Deerfield Road, Boone, NC 28607 | 2006-11-16 |
| 1053348524 | Richard L Woods | Nurse Anesthetist, Certified Registered | 193 Valley Stran Dr, Boone, NC 28607-8890 | 2006-06-28 |
| 1194788380 | Deborah Joyce Flaherty | Nurse Anesthetist, Certified Registered | 376 Deerfield Forest Pkwy, Boone, NC 28607-8409 | 2006-04-09 |
| 1992203152 | Christopher Anthony Santos | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2018-01-23 |
| 1891169082 | Lauren E Brown | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2015-11-25 |
| 1871916122 | Colleen Sharkey | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2014-01-22 |
| 1952746497 | Yee Ling Kwan | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2013-05-09 |
| 1992027239 | Lisa Christian Nethery | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2010-02-26 |
| 1689725285 | Steven Timothy Meyer | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2007-01-12 |
| 1548335581 | Watauga Medical Center Inc | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-11-22 |
| Find all providers in BOONE | ||||
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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.