MRS. VIRGINIA J CLARK (NPI# 1538580634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538580634 |
| Entity Type | Individual |
| Full Name | MRS. VIRGINIA J CLARK |
| Practice Address |
4806 Mile Stretch Dr Holiday FL 34690-4358 |
| Practice Telephone | 7279437162 |
| Mailing Telephone | 7279437162 |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA17009 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760628382 | Virginia Clark | Student in an Organized Health Care Education/Training Program | 6808 Sampson Ln, Cincinnati, OH 45236-4031 | 2009-01-02 |
| 1730342049 | Virginia Gayle Clark | Counselor | 4661 Fountain Ln, Odessa, TX 79761-1912 | 2008-07-07 |
| 1407949662 | Virginia Louise Clark | Marriage & Family Therapist | 1107 Abbot Kinney Blvd, Venice, CA 90291 | 2006-10-02 |
| 1073607552 | Virginia C Clark | Social Worker | 4326 Sw 142nd Street Rd, Ocala, FL 34473-5637 | 2006-10-02 |
| 1982056834 | Virginia Clark | Registered Nurse | 2 Park Ave, Dumont, NJ 07628-3004 | 2016-07-04 |
| 1366851198 | Virginia Clark | Pharmacy Technician | 13660 California St, Omaha, NE 68154-5233 | 2014-08-06 |
| 1497975387 | Virginia H Clark | Occupational Therapist | 5847 21st Ave W, Bradenton, FL 34209-5641 | 2007-04-26 |
| 1386728475 | Virginia Catherine Clark | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-10-25 |
| 1437193968 | Virginia Clark | Technician, Other | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-06-15 |
| 1477511038 | Virginia Fowkes Clark | Psychologist | 4833 Darrow Road Suite 101, Stow, OH 44224-1411 | 2006-05-03 |
| Street Address |
4806 MILE STRETCH DR |
| City | HOLIDAY |
| State | FL |
| Zip Code | 34690-4358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770136012 | Peter Steven Bertuccio Jr. | Behavior Technician | 5129 Sandlewood Dr, Holiday, FL 34690 | 2019-07-16 |
| 1699210088 | Lacie Wanner | Massage Therapist | 5331 Whipporwill Dr., Holiday, FL 34690 | 2016-12-21 |
| 1811063886 | Tarpon Springs Hospital Foundation Inc | Preventive Medicine | 2280 Us Highway 19, Hemh Occupational Health Service, Holiday, FL 34690 | 2006-11-28 |
| 1588739239 | Mark C Mccoy | Dentist | 4916 Mile Stretch Dr, Holiday, FL 34690 | 2006-11-21 |
| 1568436533 | Hsuan Shu Lai | General Practice | 4732 Mile Stretch Dr, Holiday, FL 34690 | 2006-02-15 |
| 1255336889 | David Seaman Lindberg Jr. | Internal Medicine | 5304 Milestretch Drive, Holiday, FL 34690 | 2005-06-20 |
| 1245729573 | Callie Blanco | Nurse Practitioner | 4740 Mile Stretch Dr, Holiday, FL 34690 | 2018-05-02 |
| 1033325527 | Diana Morris | Specialist | 3349 Cantrell St, Holiday, FL 34690-1820 | 2007-05-14 |
| 1457354474 | Shahina Javeed | Internal Medicine | 4904 Moog Rd, Holiday, FL 34690-1857 | 2005-05-23 |
| 1275785776 | Shahina Javeed Md Pa | Internal Medicine | 4904 Moog Rd, Holiday, FL 34690-1857 | 2008-10-15 |
| Find all providers in zip 34690 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619123312 | Atit Neurology Pa | Specialist | 1011 Us Highway 19, Holiday, FL 34691-5636 | 2008-08-13 |
| 1033325527 | Diana Morris | Specialist | 3349 Cantrell St, Holiday, FL 34690-1820 | 2007-05-14 |
| 1730570219 | Robert Bruce Killeen Jr. M.d. P.a. | Specialist | 2520 Us Highway 19, Holiday, FL 34691-3846 | 2015-02-05 |
| 1003910134 | Diana Patricia Mcgrath | Specialist | 2435 Us Highway 19, Suite 100, Holiday, FL 34691-3903 | 2006-09-11 |
| 1063435378 | Derrick Alan Sovel | Specialist | 2435 Us Highway 19, Suite 100, Holiday, FL 34691-3903 | 2006-07-26 |
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| 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.