JUSTIN B CLARK (NPI# 1487606380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487606380 |
| Entity Type | Individual |
| Full Name | JUSTIN B CLARK |
| Credential | LAT, ATC |
| Practice Address |
511 Ne 10th St Abilene KS 67410-2153 |
| Mailing Address |
511 Ne 10th St Po Box 123 Abilene KS 67410-2153 |
| Practice Telephone | 7852636664 |
| Mailing Telephone | 7852636664 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2400410 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493226 | Justin Clark | Student in an Organized Health Care Education/Training Program | 7337 Wythe Dr, Noblesville, IN 46062-7785 | 2020-10-08 |
| 1942531868 | Justin Clark | Pharmacist | 12050 N Dove Mt Blvd, Marana, AZ 85658 | 2010-01-15 |
| 1750528964 | Justin Liam Clark | Physical Therapist | 102 Fairview Pk Dr, Elmsford, NY 10523-1518 | 2009-01-09 |
| 1598945644 | Justin Charles Clark | Neurological Surgery | 414 Plymouth Ne, Grand Rapids, MI 49505-6041 | 2007-11-06 |
| 1538129085 | Justin Clark | Allergy & Immunology | 362 Beal Pkwy Nw Ste 105, Fort Walton Beach, FL 32548-3926 | 2006-03-27 |
| 1639164098 | Justin Wayne Clark | Dermatology | 3601 22nd St, Lubbock Dermatology, Lubbock, TX 79410-1309 | 2005-09-13 |
| 1619458999 | Justin Blake Clark | Social Worker | 9600 Veterans Dr., Mailstop: Mhc 61-116-c, Tacoma, WA 98493-5000 | 2018-08-24 |
| 1912483645 | Justin D Clark | Social Worker | 533 26th St Ste 100, Ogden, UT 84401-2459 | 2018-07-16 |
| 1235621327 | Justin M Clark | Family Medicine | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2018-06-04 |
| 1760987481 | Justin Clark | Occupational Therapist | 14151 15 Mile Rd, Sterling Heights, MI 48312-5507 | 2018-03-26 |
| Street Address |
511 NE 10TH ST |
| City | ABILENE |
| State | KS |
| Zip Code | 67410-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891763942 | Christlieb E Gardiner | Physician Assistant | 511 Ne 10th St, Abilene, KS 67410-2153 | 2006-03-14 |
| 1073125969 | Erica Forbes | Registered Nurse | 511 Ne 10th St, Abilene, KS 67410-2153 | 2020-08-20 |
| 1306474564 | Christopher John Young | Surgery | 511 Ne 10th St, Abilene, KS 67410-2153 | 2020-03-31 |
| 1134769854 | Rachelle Allie Sims | Nurse Practitioner | 511 Ne 10th St, Abilene, KS 67410-2153 | 2020-01-10 |
| 1104300631 | Hillary Anne Kersten | Physician Assistant | 511 Ne 10th St, Abilene, KS 67410-2153 | 2018-09-20 |
| 1437582020 | Hospital District No. 1 of Dickinson County, Kansas | Physical Medicine & Rehabilitation | 511 Ne 10th St, Abilene, KS 67410-2153 | 2013-08-19 |
| 1962741967 | Shan R George | Nurse Practitioner | 511 Ne 10th St, Abilene, KS 67410-2153 | 2013-02-11 |
| 1598048753 | Nicole Marie Betz | Nurse Practitioner | 511 Ne 10th St, Abilene, KS 67410-2153 | 2011-09-23 |
| 1063723617 | Hospital District No. 1 of Dickinson County, Kansas | Family Medicine | 511 Ne 10th St, Abilene, KS 67410-2153 | 2010-06-29 |
| 1871729780 | Deann Feldt | Nurse Practitioner | 511 Ne 10th St, Abilene, KS 67410-2153 | 2009-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639713639 | Trenton James Schmidt | Nurse Practitioner | 511 Ne 10th, Abilene, KS 67410 | 2019-11-01 |
| 1639698541 | Ashley Marie Moomaw | Nurse Practitioner | 511 Ne 10th Street, Abilene, KS 67410 | 2017-09-12 |
| 1184927139 | Jack Milton Mohler | Physical Medicine & Rehabilitation | 1413 North Van Buren, Abilene, KS 67410 | 2010-12-14 |
| 1053565481 | Deborah Dimmitt Ponton | Social Worker | 1005 N. Buckeye, Abilene, KS 67410 | 2008-11-12 |
| 1134219249 | Jenee' Barth | Optometrist | 311 Nw 3rd, Abilene, KS 67410 | 2006-10-13 |
| 1043264096 | Max Leroy Long | Chiropractor | 417 Nw Third St, Abilene, KS 67410 | 2006-05-22 |
| 1588615454 | Robert Michael Robson | Dentist | 106 Nw 15th St, Abilene, KS 67410 | 2006-05-15 |
| 1114335825 | Curtis F Osland | Emergency Medical Technician, Paramedic | 203 N Broadway, Abilene, KS 67410 | 2014-07-25 |
| 1952401085 | Jarad M. Waite | Optometrist | 311 Nw 3rd St, Abilene, KS 67410 | 2006-09-25 |
| 1770664203 | Auburn Pharmacy Abilene LLC | Durable Medical Equipment & Medical Supplies | 1518 N Buckeye Ave, Abilene, KS 67410-1538 | 2006-10-18 |
| Find all providers in zip 67410 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497300727 | Anthony Corrao I | Specialist/Technologist | 333 Washington Blvd Apt 224, Abilene, TX 79601-5455 | 2019-08-04 |
| 1336610658 | Zachary C Hammond | Specialist/Technologist | 318 N 13th St, Abilene, TX 79601-3104 | 2018-12-13 |
| 1336621077 | Gabriella M Sanchez | Specialist/Technologist | 1966 Fannin St, Abilene, TX 79603-3436 | 2018-08-29 |
| 1578041224 | Chelsea K Martinez | Specialist/Technologist | 2800 N 6th St, Abilene, TX 79603-7190 | 2018-08-04 |
| 1336637636 | Trenton Gardner | Specialist/Technologist | 2450 Madison Ave, Abilene, TX 79601-2049 | 2018-04-23 |
| 1740778091 | Rachael Wood | Specialist/Technologist | 1600 Campus Court, Abilene, TX 79699 | 2018-04-23 |
| 1356843858 | Casey Walker Clendennen Jr. | Specialist/Technologist | 2789 E Lake Rd Apt 284, Abilene, TX 79601-4846 | 2018-03-01 |
| 1528560026 | Jodi Michelle Pagliolo | Specialist/Technologist | 2150 N Judge Ely Blvd Apt 422b, Abilene, TX 79601-2652 | 2018-03-01 |
| 1922513084 | Wendy Michelle Svoboda | Specialist/Technologist | 3639 Sayles Blvd, Abilene, TX 79605-7050 | 2017-12-11 |
| 1609395508 | Kelcey Brooke Knecht | Specialist/Technologist | 1 Mcmurry University, Abilene, TX 79697-0001 | 2017-09-12 |
| Find all providers in ABILENE | ||||
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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.