MISS KAY ROSE CLARK (NPI# 1538214218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538214218 |
| Entity Type | Individual |
| Full Name | MISS KAY ROSE CLARK |
| Credential | CRNA |
| Practice Address |
1465 South Main Street Walnut Creek CA 94596 |
| Mailing Address |
1425 S Main St Walnut Creek CA 94596-5318 |
| Practice Telephone | 9252954465 |
| Mailing Telephone | 9252954000 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1957 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750644936 | Kay A Clark | Specialist | 114 Cutler Rd, Greene, NY 13778-1029 | 2012-06-21 |
| 1770747867 | Kay R Clark | Registered Nurse | 510 Butler Ave, Va Medical Center, Martinsburg, WV 25405-9990 | 2008-07-17 |
| 1710036223 | Kay Mantiply Clark | Nurse Practitioner | 68 Sweeten Creek Road, Carepartners Health Services, Asheville, NC 28803-2318 | 2007-01-10 |
| 1558333104 | Kay Freeman Clark | Social Worker | 122 N Spruce St, Winston Salem, NC 27101-2734 | 2006-02-07 |
| Street Address |
1465 SOUTH MAIN STREET |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063970390 | Rosemary W Kanake | Nurse Anesthetist, Certified Registered | 1470 Creekside Dr Apt 3, Walnut Creek, CA 94596-5538 | 2019-03-05 |
| 1740477462 | Florcena Mayo | Nurse Anesthetist, Certified Registered | 1447 Treat Blvd, Apt 125, Walnut Creek, CA 94597-8858 | 2007-09-26 |
| 1487791299 | James Michael Coupe | Nurse Anesthetist, Certified Registered | 1924 S.main St., Walnut Creek, CA 94596 | 2007-01-31 |
| 1982764379 | Lisa Jeanette Haas | Nurse Anesthetist, Certified Registered | 1425 S. Main Street, Walnut Creek, CA 94596 | 2006-12-08 |
| 1336625250 | Linda Suh | Nurse Anesthetist, Certified Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2018-07-13 |
| 1669969440 | Mai T Pham | Nurse Anesthetist, Certified Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2018-04-18 |
| 1407369671 | Alexander Fritz Szilagyi | Nurse Anesthetist, Certified Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2017-11-09 |
| 1851751457 | Brienne Colton | Nurse Anesthetist, Certified Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2016-02-25 |
| 1477918670 | Philip Truong | Nurse Anesthetist, Certified Registered | 1425 S Main St, Walnut Creek, CA 94596 | 2015-12-15 |
| 1770957094 | Daniel Everett Fuller | Nurse Anesthetist, Certified Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2015-11-24 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.