KELLY S CLARK (NPI# 1538479324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538479324 |
Entity Type | Individual |
Full Name | KELLY S CLARK |
Credential | LPN |
Practice Address |
15716 W High St # 597 Middlefield OH 44062-9201 |
Mailing Address |
15716 W High St P O Box 597 Middlefield OH 44062-9201 |
Practice Telephone | 4406328071 |
Mailing Telephone | 4406328071 |
Enumeration Date | 2010-10-14 |
Last Update Date | 2010-10-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164X00000X | Licensed Vocational Nurse | 131431 | OH | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
APPLYING FOR NUMBER NOW. | 0000 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
1013474410 | Kelly Patricia Clark | Licensed Practical Nurse | 55 Pine Dr E, Mason, MI 48854-9229 | 2019-02-22 |
1013497304 | Kelly Ann Clark | Case Manager/Care Coordinator | 2498 Wenona Dr, Wixom, MI 48393-2199 | 2018-08-16 |
1407336720 | Kelly Elizabeth Clark | Physical Medicine & Rehabilitation | 3800 Reservoir Rd., Bles Building, Ground Floor, Department of Pm&r, Washington, DC 20007-2113 | 2018-08-16 |
1356747448 | Kelly Clark | Dietitian, Registered | 46 Mallards Cv, Duxbury, MA 02332-3548 | 2014-11-17 |
1568883312 | Kelly Clark | Licensed Practical Nurse | 125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 | 2013-12-20 |
1306105903 | Kelly Thomas Clark | Speech-Language Pathologist | 3406 Fowler Ct, Missouri City, TX 77459-6366 | 2012-05-16 |
1619247509 | Kelly Jane Clark | Pharmacist | 328 Quail Walk Trl, Chapin, SC 29036-9791 | 2012-01-09 |
1427350461 | Kelly Darlene Clark | Chiropractor | 2425 Mahan Dr, Tallahassee, FL 32308-2301 | 2010-11-24 |
1881715068 | Kelly Clark | Social Worker | 425 Prospect St, Northampton, MA 01060-2046 | 2007-04-03 |
Street Address |
15716 W HIGH ST # 597 |
City | MIDDLEFIELD |
State | OH |
Zip Code | 44062-9201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487260386 | Amanda Yoder | Homemaker | 17245 Madison, Middlefield, OH 44062 | 2020-09-17 |
1841537651 | Robert David Gavazzi | Chiropractor | 15914 West High Street, Middlefield, OH 44062 | 2013-01-14 |
1124277306 | Christine M. Nowak | Counselor | 15985 East High St., Suite 206, Middlefield, OH 44062 | 2008-09-12 |
1184801037 | University Hospitals Medical Practices Inc | Orthopaedic Surgery | 15976 East High Street, Ortho Suite, Middlefield, OH 44062 | 2008-01-23 |
1457571366 | Pamela Elizabeth Martin | Dentist | 16022 East High Street, Middlefield, OH 44062 | 2007-04-26 |
1366595506 | Craig John Farrell | Dentist | 16022 East High St, Middlefield, OH 44062 | 2007-01-19 |
1720181472 | Ohio Cvs Stores LLC | Pharmacy | 15925 West High St, Middlefield, OH 44062 | 2006-09-07 |
1295848133 | Isadore John Youshak | Optometrist | 15795 W High St, Middlefield, OH 44062 | 2006-08-16 |
1144297342 | Health Quest Compounding Pharmacy Inc | Pharmacy | 14895 N State Ave, Unit D Po, Middlefield, OH 44062 | 2006-03-07 |
1235398769 | Precision Orthopaedic Specialties Inc | Anesthesiology | 15976 East High Street, Middlefield, OH 44062 | 2008-06-09 |
Find all providers in zip 44062 |
Taxonomy Code | 164X00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Vocational Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766878 | Stephanie Puszak | Licensed Vocational Nurse | 13730 Rybak Ave, Garfield Heights, OH 44125-5239 | 2020-10-08 |
1376186379 | Jessica Welch | Licensed Vocational Nurse | 245 E 208th St, Euclid, OH 44123-1811 | 2019-10-22 |
1093376303 | Leah Marie Zaletel | Licensed Vocational Nurse | 96 Brightwood Blvd, Lucas, OH 44843-9578 | 2019-06-26 |
1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
1083171680 | Benjamin Dzreke | Licensed Vocational Nurse | 4058 Burnell Cir E, Columbus, OH 43224 | 2019-03-01 |
1497239156 | Mary Charniece Maddox | Licensed Vocational Nurse | 1073 Thornhill Dr, Cleveland, OH 44108-2316 | 2018-09-19 |
1528549466 | April Knick | Licensed Vocational Nurse | 3846 Vance Rd, Moraine, OH 45439-1239 | 2018-08-28 |
1851888309 | Sarah Swanner | Licensed Vocational Nurse | 10035 Mulberry Rd, Chardon, OH 44024-9719 | 2018-04-20 |
1164929824 | Jennifer Nicole Kidd | Licensed Vocational Nurse | 7094 Huntersmoon Ct, Hamilton, OH 45011 | 2018-04-10 |
1154824662 | Lashanda Renee Tatum | Licensed Vocational Nurse | 6269 Stover Ave, Cincinnati, OH 45237-4825 | 2018-03-10 |
Find all providers with the same taxonomy |
City | MIDDLEFIELD |
Zip Code | 44062 |
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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.