MELISSA ANN CLARK (NPI# 1508240938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508240938 |
| Entity Type | Individual |
| Full Name | MELISSA ANN CLARK |
| Credential | FNP-C |
| Practice Address |
1850 Spring Ridge Dr Susanville CA 96130-6100 |
| Practice Telephone | 5302515000 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95002674 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 123 Atlantic Ave, Long Beach, CA 908025121 | 5627261383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902336753 | Melissa Lynn Clark | Audiologist | 69 Allen St Ste 1, Rutland, VT 05701-4564 | 2017-06-14 |
| 1245764638 | Melissa Clark | Social Worker | 2906 F St, Unit 6860, Eureka, CA 95502-4101 | 2017-04-12 |
| 1861843328 | Melissa Clark | Case Manager/Care Coordinator | 21 Seneca Dr, Horseheads, NY 14845-1082 | 2016-06-27 |
| 1982054862 | Melissa A Clark | Social Worker | 3142 W Fullerton Ave Apt 1, Chicago, IL 60647-7997 | 2016-06-21 |
| 1518236900 | Melissa Yvonne Clark | Counselor | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2011-12-14 |
| 1063799682 | Melissa Newkam Clark | Occupational Therapist | 5745 Old Winder Hwy Ste C, Braselton, GA 30517-1637 | 2011-11-10 |
| 1114160199 | Melissa Ann Clark | Licensed Practical Nurse | 113 Cheney St, Syracuse, NY 13207 | 2009-04-07 |
| 1902084858 | Melissa Clark | Registered Nurse | 3251 West 9th Street, Waterloo, IA 50702 | 2008-02-02 |
| 1447462189 | Melissa Kipp Clark | Audiologist | 5304 Manatee Ave W, Bradenton, FL 34209-3743 | 2007-05-04 |
| 1548398506 | Melissa Darlene Clark | Licensed Practical Nurse | 105 Waverly Plz, Waverly, TN 37185-1531 | 2007-03-01 |
| Street Address |
1850 SPRING RIDGE DR |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156866 | Samuel Richard Carlton | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2005-06-30 |
| 1043844947 | Kellie L Arnold | Registered Nurse | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2020-02-28 |
| 1275170086 | Emily Anne Lewis | Physician Assistant | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2019-11-30 |
| 1740767367 | Ann Marcine Leve | Dental Hygienist | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2018-07-26 |
| 1760969398 | Megan Lee Luna | Dental Hygienist | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2018-07-26 |
| 1760989859 | Erica Leigh Costello | Physician Assistant | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2018-04-06 |
| 1366837163 | Kimberly Louise Clinite | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2015-03-30 |
| 1538573365 | Lindsey Steglich | Physician Assistant | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2014-06-19 |
| 1225464548 | Northern Nevada Cardiology PC | Internal Medicine | 1850 Spring Ridge Dr, Suite B, Susanville, CA 96130-6100 | 2013-09-18 |
| 1487093076 | Timothy S Eckford | Family Medicine | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2013-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1669694683 | Bradley Earl Reger | Nurse Practitioner | 700 Ash St, Susanville, CA 96130-3716 | 2007-05-02 |
| 1114384229 | Melissa Leilani Garnett | Nurse Practitioner | 795 Joaquin St, Susanville, CA 96130 | 2016-01-20 |
| 1760746556 | Portia Joy Korver | Nurse Practitioner | 575 Hospital Ln, Susanville, CA 96130-4808 | 2012-06-27 |
| 1962652131 | Jane Marie Henneman Low | Nurse Practitioner | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2008-09-24 |
| 1821260530 | Barbara Johnson Mauck | Nurse Practitioner | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2008-04-02 |
| 1346418845 | John A. Anderson | Nurse Practitioner | 705 West St, Susanville, CA 96130-4834 | 2008-02-19 |
| 1902093362 | Terri Lee Snyder | Nurse Practitioner | 705 West St, Susanville, CA 96130-4834 | 2007-10-01 |
| 1952311045 | Noreen A Frieling | Nurse Practitioner | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2006-08-09 |
| 1538179643 | Constance A Herman | Nurse Practitioner | 705 West St, Susanville, CA 96130-4834 | 2006-08-09 |
| Find all providers in SUSANVILLE | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
Please comment or provide details below to improve the information on MELISSA ANN 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.