JULIANA R CLARK (NPI# 1538587613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538587613 |
| Entity Type | Individual |
| Full Name | JULIANA R CLARK |
| Credential | CRNP |
| Practice Address |
1201 7th St Se Decatur AL 35601-3337 |
| Practice Telephone | 2563412909 |
| Practice Fax Number | 2563413053 |
| Mailing Telephone | 2563412909 |
| Mailing Fax Number | 2563413053 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-115752 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306114897 | Juliana M Clark | Occupational Therapy Assistant | 1066 Old State Rd N, Norwalk, OH 44857-9372 | 2011-12-12 |
| 1487101648 | Juliana Clark | Peer Specialist | 10700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3019 | 2016-09-06 |
| 1982675344 | Juliana Jackson Clark | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2006-02-01 |
| Street Address |
1201 7TH ST SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036070 | Brian Koonce | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2005-10-06 |
| 1598389116 | Julianna Mize | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-05-29 |
| 1831728302 | Jennifer Leigh Davis | Registered Nurse | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-04-06 |
| 1316571615 | Decatur Morgan Emergency Medicine | Emergency Medicine | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-02-25 |
| 1245791912 | Summer Cole Todd | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-03-26 |
| 1417416173 | Reagan Robinson Lindsey | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-03-12 |
| 1639633258 | Brittany Marie Walker | Registered Nurse | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-01-28 |
| 1144799693 | Jenna Anne Cox Mcgee | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3303 | 2018-11-14 |
| 1093296964 | Delana Cole Clemons | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2018-08-28 |
| 1710409958 | Mrudula Thiriveedi | Internal Medicine | 1201 7th St Se, Decatur, AL 35601-3337 | 2017-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759137 | Brittany N Eischeid | Nurse Practitioner | 1502 S Fm 51 Ste B, Decatur, TX 76234-2476 | 2020-01-19 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1235520321 | Catherine Kelsey Kinslow | Nurse Practitioner | 2406 Hwy 31, Decatur, AL 35603-1504 | 2015-02-10 |
| 1912093816 | Cara A Gravlin | Nurse Practitioner | 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 | 2006-10-05 |
| 1811595085 | Glenn Andrew Thomas | Nurse Practitioner | 2665 N Decatur Rd Ste 430, Decatur, GA 30033-6145 | 2020-10-11 |
| 1861019697 | Esther Miranda Hambrick | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2020-06-27 |
| 1740818814 | Valerie Lynn Rouse Beliard | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-01 |
| 1689238909 | Sara K Pollock | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2019-04-23 |
| 1255890703 | Rachel Elizabeth Branton | Nurse Practitioner | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-03-14 |
| Find all providers in DECATUR | ||||
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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.