KAREN MARIE CLARK (NPI# 1508049594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508049594 |
| Entity Type | Individual |
| Full Name | KAREN MARIE CLARK |
| Credential | N.P. |
| Practice Address |
1140 Sonoma Ave 2a Santa Rosa CA 95405-4817 |
| Mailing Address |
3883 Airway Dr Suite 300 Santa Rosa CA 95403-1670 |
| Practice Telephone | 7075265034 |
| Practice Fax Number | 7075453984 |
| Mailing Telephone | 7074734531 |
| Mailing Fax Number | 7074734559 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 16742 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251276 | Karen Ann Clark | Physical Therapist | 1300 Soldiers Field Rd, Boston, MA 02135-1032 | 2019-12-06 |
| 1902203623 | Karen Clark | Nurse Practitioner | 4124 Kittrell Farms Dr Apt 3, Greenville, NC 27858-8998 | 2014-11-24 |
| 1841608973 | Karen Clark | Pharmacist | 3919 N Maple St Lowr Level, Spokane, WA 99205-1349 | 2014-08-01 |
| 1710272315 | Karen Lea Clark | Pharmacist | 3000 E Highland Dr, Suite A, Jonesboro, AR 72401-6382 | 2011-06-13 |
| 1780824029 | Karen Chavis Clark | Pharmacist | 2295 Nc Highway 24 27 E, Biscoe, NC 27209 | 2009-02-26 |
| 1942462163 | Karen Clark | Registered Nurse | 130 Seekonk St, Norfolk, MA 02056-1169 | 2008-06-29 |
| 1811020134 | Karen D. Clark | Speech-Language Pathologist | 18424 N 51st Ave, Glendale, AZ 85308-1443 | 2007-03-14 |
| 1023057924 | Karen Noelle Clark | Psychologist | 16250 Northland Drive,ste 245, Southfield, MI 48075 | 2006-06-06 |
| 1174593727 | Karen A Clark | Internal Medicine | 5050 Sw Lee Blvd Ste 2, Lawton, OK 73505 | 2006-01-25 |
| 1851383962 | Karen Cox Clark | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2005-08-16 |
| Street Address |
1140 SONOMA AVE 2A |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376505180 | Michael J Lazar Jr. | Urology | 1140 Sonoma Ave, Ste 1a, Santa Rosa, CA 95405-4817 | 2006-04-05 |
| 1356776355 | James Grossman | Physician Assistant | 1140 Sonoma Ave, Bldg. 3, Santa Rosa, CA 95405-4817 | 2013-09-09 |
| 1659671600 | Planned Parenthood: Shasta-diablo, Inc. | Clinic/Center | 1140 Sonoma Ave, Santa Rosa, CA 95405-4817 | 2010-10-25 |
| 1588829691 | Northern California Medical Assoc Inc | Urology | 1140 Sonoma Ave, Ste 1a, Santa Rosa, CA 95405-4817 | 2008-07-29 |
| 1649466004 | Sutter Medical Group of The Redwoods | Pediatrics | 1140 Sonoma Ave, Building 3, Santa Rosa, CA 95405-4817 | 2007-09-19 |
| 1740497072 | Sutter Medical Group of The Redwoods | Obstetrics & Gynecology | 1140 Sonoma Ave, Suite 2a, Santa Rosa, CA 95405-4817 | 2007-05-17 |
| 1992875405 | Jeannie L Pflum Do Inc | Obstetrics & Gynecology | 1140 Sonoma Ave, Suite 2a, Santa Rosa, CA 95405-4817 | 2006-11-09 |
| 1912910811 | Michael J. Lazar, Jr., M.d., Professional Medical Corporation | Urology | 1140 Sonoma Ave, Suite 1a, Santa Rosa, CA 95405-4817 | 2006-08-14 |
| 1942252911 | Natasha Ann Kahl | Obstetrics & Gynecology | 1140 Sonoma Ave, Ste 2a, Santa Rosa, CA 95405-4817 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
|---|---|---|---|---|
| 1427518596 | Jeannine Anne Freeman | Nurse Practitioner | 1936 Northfield Dr, Santa Rosa, CA 95403-2086 | 2019-03-23 |
| 1215449814 | Jinney Murdes | Nurse Practitioner | 70 Stony Point Rd Ste G, Santa Rosa, CA 95401-4492 | 2017-11-04 |
| 1982121885 | Jennifer Elizabeth Warren | Nurse Practitioner | 1144 Sonoma Ave Ste 119, Santa Rosa, CA 95405-4812 | 2017-08-23 |
| 1205245255 | Jacqueline Anderson | Nurse Practitioner | 2057 Northfield Dr, Santa Rosa, CA 95403-2073 | 2014-08-04 |
| 1679792071 | Jane E Kennedy | Nurse Practitioner | 2455 Bennett Valley Rd Ste B205, Santa Rosa, CA 95404-5667 | 2007-04-24 |
| 1619903010 | James Clifford Strother | Nurse Practitioner | 3536 Mendocino Avenue, #300, Santa Rosa, CA 95403 | 2006-06-25 |
| 1720052921 | Dana K Mckinney | Nurse Practitioner | 2023 Gardenview Pl, Santa Rosa, CA 95403-9488 | 2006-02-14 |
| 1770553273 | Jennifer Carin Follestad | Nurse Practitioner | 392 Tesconi Ct, Santa Rosa, CA 95401-4653 | 2006-01-25 |
| 1508403551 | Victoria Ojiako | Nurse Practitioner | 2235 Challenger Way, Santa Rosa, CA 95407-5458 | 2019-12-09 |
| 1548723422 | Sunny Bush | Nurse Practitioner | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2019-04-09 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.