MS. CAROLYN ANN CLARK (NPI# 1508994229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508994229 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN ANN CLARK |
| Credential | BS |
| Practice Address |
1221 Nashville Hwy Lewisburg TN 37091-2221 |
| Practice Telephone | 9313595802 |
| Practice Fax Number | 9313594801 |
| Mailing Telephone | 9313595802 |
| Mailing Fax Number | 9313594801 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124429857 | Carolyn Clark | Nurse Practitioner | 6010 Hidden Valley Rd Ste 115, Carlsbad, CA 92011-4219 | 2014-09-12 |
| 1679915664 | Carolyn Gay Clark | Nurse Practitioner | 1232 Branson Hills Pkwy Ste 106, Branson, MO 65616-4189 | 2013-07-19 |
| 1932489184 | Carolyn Kennedy Clark | Acupuncturist | 813 Ormond Ct, San Diego, CA 92109-7370 | 2011-08-19 |
| 1396061255 | Carolyn A Clark | Social Worker | 150 California Dr, Yountville, CA 94599-1411 | 2010-04-15 |
| 1235274242 | Carolyn E. Clark | Obstetrics & Gynecology | 1124 19th St, Huntington, WV 25701-3904 | 2007-02-20 |
| 1962416172 | Carolyn R Clark | Optometrist | 800 Sw Alder St, Portland, OR 97205-3107 | 2006-07-27 |
| 1316933567 | Carolyn B Clark | Nurse Practitioner | 1217 S East Ave Ste 104, Sarasota, FL 34239-2350 | 2005-09-23 |
| 1003434069 | Carolyn Teresa Clark | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-07-07 |
| 1215568118 | Carolyn Clark | Social Worker | 60 O St Nw, Washington, DC 20001-1259 | 2020-01-29 |
| 1184108300 | Carolyn Clark | Social Worker | 4150 Earhart Blvd, New Orleans, LA 70125-1955 | 2018-09-24 |
| Street Address |
1221 NASHVILLE HWY |
| City | LEWISBURG |
| State | TN |
| Zip Code | 37091-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831207455 | Donald Fick | Physical Therapist | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2006-08-25 |
| 1518357706 | Kelly Larose | Case Manager/Care Coordinator | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2015-01-27 |
| 1669797098 | Cynthia West Hanks | Case Manager/Care Coordinator | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2010-03-29 |
| 1548446032 | Betty Darlene Barnett | Case Manager/Care Coordinator | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2008-01-14 |
| 1023208303 | Stephen Paul Chester | Chiropractor | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2007-08-01 |
| 1508987157 | Thomas Davis | Case Manager/Care Coordinator | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2007-04-02 |
| 1447374517 | Pamela Schrimsher | Registered Nurse | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2007-03-16 |
| 1992833685 | Wolfgang Rainer Wyk | Counselor | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2007-03-02 |
| 1730217969 | Centerstone Mental Health Services | Community/Behavioral Health | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2007-03-01 |
| 1710085865 | Todd C Smith | Chiropractor | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168817 | South Medical Clinic LLC | Family Medicine | 118 2nd Ave South, Lewisburg, TN 37091 | 2020-03-04 |
| 1063968345 | Joe Swinney IIi | Case Management | 3756 Tom Littlejohn Rd, Lewisburg, TN 37091 | 2016-08-28 |
| 1396142485 | The Estate of P. Laray Rector | Dentist | 553 W Commerce St, Lewisburg, TN 37091 | 2014-12-04 |
| 1093958092 | Tamara Carolynn Holley | Case Manager/Care Coordinator | 1603 Nashville Highway, Lewisburg, TN 37091 | 2009-04-07 |
| 1285897793 | Jennifer Val Neel | Nurse Practitioner | 329 West Commerce Street, Lewisburg, TN 37091 | 2008-07-03 |
| 1316138639 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1030 War Eagle Drive, Lewisburg, TN 37091 | 2007-08-05 |
| 1568561850 | John Woodson Carter | Dentist | 1085 N Ellington Pkwy, Lewisburg, TN 37091 | 2006-09-22 |
| 1508882671 | Kenneth J Phelps Jr. | Family Medicine | 304 W Church St, Lewisburg, TN 37091 | 2006-07-14 |
| 1760448500 | Edward D White Jr. | Nurse Practitioner | 710 Cornersville Rd, Lewisburg, TN 37091 | 2006-04-21 |
| 1548243348 | Air Evac Ems Inc | Ambulance | 1879 Franklin Pike, Lewisburg, TN 37091 | 2005-11-25 |
| Find all providers in zip 37091 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920270 | Valerie Jean Staunton | Case Manager/Care Coordinator | 765 Jefferson St S, Lewisburg, WV 24901-2084 | 2020-10-20 |
| 1154936292 | Joy Emily Arbuckle | Case Manager/Care Coordinator | 1108 Washington St E, Lewisburg, WV 24901-2523 | 2020-09-15 |
| 1043838725 | Judy Carol | Case Manager/Care Coordinator | 2947 Jefferson St N Ste 2, Lewisburg, WV 24901-5719 | 2020-07-09 |
| 1093958092 | Tamara Carolynn Holley | Case Manager/Care Coordinator | 1603 Nashville Highway, Lewisburg, TN 37091 | 2009-04-07 |
| 1124170501 | Susan M Colon | Case Manager/Care Coordinator | 10 S 7th St, Lewisburg, PA 17837-1820 | 2007-01-17 |
| 1407461544 | Jordan Parker Clark | Case Manager/Care Coordinator | 1108 Washington St E, Lewisburg, WV 24901-2523 | 2020-09-15 |
| 1205481934 | Whitney Leigh Moore | Case Manager/Care Coordinator | 1601 Nashville Hwy, Lewisburg, TN 37091-2948 | 2019-08-08 |
| 1518357706 | Kelly Larose | Case Manager/Care Coordinator | 1221 Nashville Hwy, Lewisburg, TN 37091-2221 | 2015-01-27 |
| 1700157674 | Zeldra Kanisha Swaggerty | Case Manager/Care Coordinator | 1601 Nashville Hwy, Lewisburg, TN 37091-2948 | 2012-01-24 |
| 1760767552 | John Sherman Childers Jr. | Case Manager/Care Coordinator | 1601 Nashville Hwy, Lewisburg, TN 37091-2948 | 2011-10-12 |
| Find all providers in LEWISBURG | ||||
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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.