KATHLEEN CLARK (NPI# 1518151489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518151489 |
| Entity Type | Individual |
| Full Name | KATHLEEN CLARK |
| Practice Address |
3000 41st St Marathon FL 33050 |
| Mailing Address |
Po Box 510795 Key Colony Beach FL 33051-0795 |
| Practice Telephone | 3054349000 |
| Mailing Telephone | 3057434111 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN 3079402 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043677446 | Kathleen Clark | Specialist/Technologist | 221 Lynnhaven Dr, North Syracuse, NY 13212-2025 | 2016-01-15 |
| 1407290364 | Kathleen Mary Clark | Registered Nurse | 2800 Ashland Rd, Columbia, SC 29210-5010 | 2013-04-23 |
| 1518103886 | Kathleen Anne Clark | Internal Medicine | 5701 Time Square Blvd Ste 220, Amarillo, TX 79119-1178 | 2008-12-16 |
| 1114176328 | Kathleen Clark Clark | Speech-Language Pathologist | 2675 State Route 28, Thendara, NY 13472-0007 | 2008-09-11 |
| 1740276906 | Kathleen M. Clark | Social Worker | 3724 Jefferson St, Suite 206, Austin, TX 78731-6221 | 2005-09-23 |
| 1043204993 | Kathleen M Clark | Chiropractor | 209 Commercial St, Hartland, ME 04943-3710 | 2005-09-07 |
| 1174515829 | Kathleen A Clark | Physical Therapist | 2700 Keslinger Road, Suite C, Geneva, IL 60134-4645 | 2005-08-18 |
| 1174182281 | Kathleen A Clark | Nurse Practitioner | 1365 Westgate Center Dr Ste G1, Winston Salem, NC 27103-2980 | 2019-06-12 |
| 1376013235 | Kathleen Margaret Clark | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-0216 | 2018-12-04 |
| 1831664416 | Kathleen M Clark | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2018-10-10 |
| Street Address |
3000 41ST ST |
| City | MARATHON |
| State | FL |
| Zip Code | 33050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093064685 | Jennifer Lisa Wolverton-wade | Registered Nurse | 3000 41st St, Marathon, FL 33050 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622297 | Donald C Smith Jr. | Pharmacist | 5271 Overseas Highway, Marathon, FL 33050 | 2020-09-03 |
| 1831702752 | Sheryl Schwab | Counselor | 1361 Overseas Highway, Unit Island N, Marathon, FL 33050 | 2020-08-29 |
| 1578114666 | Rita Gonzalez | Counselor | Guidance/care Center, Inc. Wellness Center, 3000 41st Street Ocean, Marathon, FL 33050 | 2019-09-20 |
| 1922505809 | Sandy Riegor Pt LLC | Physical Therapist | 304 Coco Plum Street, Marathon, FL 33050 | 2018-04-09 |
| 1104342252 | Trey Ilgen | Counselor | 3000 41st St., Ocean, Marathon, FL 33050 | 2017-08-21 |
| 1366890063 | Jodi Jamison | Registered Nurse | 3000 41st Street, Marathon, FL 33050 | 2016-06-03 |
| 1699153510 | Amy Michelle Gertz | Marriage & Family Therapist | 6799 Overseas Highway, Unit 7, Marathon, FL 33050 | 2015-05-12 |
| 1427467992 | Victor Boadi | Pharmacist | 10870 Overseas Highway, Walgreens Pharmacy, Marathon, FL 33050 | 2014-08-08 |
| 1881994242 | Lori M Denny | Registered Nurse | 5180 Overseas Hwy, Marathon, FL 33050 | 2010-11-01 |
| 1750614780 | Ewa Elzbieta Owens | Registered Nurse | 3000 41st St Ocean, Guidance Clinic of The Middle Keys, Marathon, FL 33050 | 2009-09-09 |
| Find all providers in zip 33050 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750614780 | Ewa Elzbieta Owens | Registered Nurse | 3000 41st St Ocean, Guidance Clinic of The Middle Keys, Marathon, FL 33050 | 2009-09-09 |
| 1699235465 | Giulia Cammarata | Registered Nurse | 3000 41st Ocean, Marathon, FL 33050-2373 | 2019-03-20 |
| 1316415722 | Molly Mcclung | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2018-11-05 |
| 1295258036 | Lorayne Diaz | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2017-07-24 |
| 1821234048 | Angela Marine | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2008-12-17 |
| 1720244684 | Monica Quinn | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2008-07-31 |
| 1235310830 | Mary Patricia Raynal | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2007-11-25 |
| 1982897401 | Stephanie Hamad | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2007-08-20 |
| 1871784199 | Victoria Teresa King | Registered Nurse | 3000 41st Street Ocean, Inpatient Csu, Marathon, FL 33050-2373 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1588211734 | Marcello De Carvalho | Registered Nurse | 7801 Point Meadows Dr Unit 2310, Jacksonville, FL 32256-9142 | 2019-08-22 |
| 1326505017 | Jeanne Gynelle Wooden | Registered Nurse | 5665 Fort Rd, Greenwood, FL 32443-1969 | 2019-02-28 |
| 1184102006 | Kathleen Stewart | Registered Nurse | 2634 Capital Cir Ne Bldg G, Tallahassee, FL 32308-4106 | 2018-08-02 |
| 1326556069 | Rose Ledoux | Registered Nurse | 803 Fairmaiden Ln Apt 2, Brandon, FL 33511-5885 | 2018-01-16 |
| 1598116006 | Virginia Dohn | Registered Nurse | 8189 N Verdino Ter, Crystal River, FL 34428-6975 | 2016-06-27 |
| 1417305756 | Myrlene Merveille | Registered Nurse | 10330 Sw 20th Ct, Miramar, FL 33025-1776 | 2016-05-26 |
| 1255788832 | Jacqueline Ustache | Registered Nurse | 1647 Sun City Center Plz Ste 201, Sun City Center, FL 33573-5334 | 2016-05-24 |
| 1881902617 | Eric John Sebring | Registered Nurse | 5601 N Suwanee Ave, Tampa, FL 33604-7059 | 2010-09-14 |
| 1578729935 | Richard Doran Tarr | Registered Nurse | 13100 Bruce B Downs Blvd, Tampa, FL 33612 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
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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.