LILY N CLARKSON (NPI# 1487091450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487091450 |
| Entity Type | Individual |
| Full Name | LILY N CLARKSON |
| Credential | FNP |
| Practice Address |
1113 Hwy 49 San Andreas CA 95249 |
| Mailing Address |
Po Box 939 Angels Camp CA 95222-0939 |
| Practice Telephone | 2097551400 |
| Practice Fax Number | 2097551430 |
| Mailing Telephone | 2097546240 |
| Mailing Fax Number | 2097546274 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP7118 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1113 HWY 49 |
| City | SAN ANDREAS |
| State | CA |
| Zip Code | 95249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275588717 | Jennifer L Joses | Physician Assistant | 1113 Hwy 49, San Andreas, CA 95249 | 2006-05-23 |
| 1689296568 | Joan Novacek | Nurse Practitioner | 1113 Hwy 49, San Andreas, CA 95249 | 2020-05-13 |
| 1629490958 | Mary Chase | Registered Nurse | 1113 Hwy 49, San Andreas, CA 95249 | 2014-01-06 |
| 1346410255 | Mact Health Board, Inc. | Clinic/Center | 1113 Hwy 49, San Andreas, CA 95249-9583 | 2008-03-06 |
| 1669560793 | Dennis Baluyut | Dentist | 1113 Hwy 49, San Andreas, CA 95249 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184265175 | Meadowmont Pharmacy Inc | Pharmacy | 45 E Saint Charles St Ste C, San Andreas, CA 95249 | 2019-10-01 |
| 1225501844 | Samantha Jolene Cooper | Marriage & Family Therapist | 23 West Saint Charles, San Andreas, CA 95249 | 2019-01-07 |
| 1063992865 | Regina Elizabeth King | Speech-Language Pathologist | 255 Lewis Avenue, San Andreas, CA 95249 | 2018-08-21 |
| 1770060113 | Hilary Rose Gambetta | Speech-Language Pathologist | 3304 Highway 12, San Andreas, CA 95249 | 2018-07-27 |
| 1528508488 | Mact Health Board, Inc. | Optometrist | 1113a Highway 49, San Andreas, CA 95249 | 2017-02-27 |
| 1548704562 | Elizabeth Thompson | Non-emergency Medical Transport (VAN) | 130 E Saint Charles St, San Andreas, CA 95249 | 2016-12-09 |
| 1952730194 | Asha Brock | Marriage & Family Therapist | 593 West Saint Charles Street, San Andreas, CA 95249 | 2013-11-07 |
| 1376897355 | Marjorie Frances Kallis | Registered Nurse | 87 East St Charles St, San Andreas, CA 95249 | 2012-10-30 |
| 1841544897 | Curtis Saxton | Durable Medical Equipment & Medical Supplies | 620 East Saint Charles St., San Andreas, CA 95249 | 2012-10-30 |
| 1962759522 | Calaveras County Behavioral Health Children | Community/Behavioral Health | 373 West St.charles Street, Suite B, San Andreas, CA 95249 | 2012-08-13 |
| Find all providers in zip 95249 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296568 | Joan Novacek | Nurse Practitioner | 1113 Hwy 49, San Andreas, CA 95249 | 2020-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANDREAS |
| Zip Code | 95249 |
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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.