KATHERINE R CLARK (NPI# 1548570484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548570484 |
| Entity Type | Individual |
| Full Name | KATHERINE R CLARK |
| Credential | NNP-BC |
| Practice Address |
7500 Mercy Rd Omaha NE 68124-2319 |
| Practice Telephone | 4023986014 |
| Mailing Telephone | 4023986014 |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
111182 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345961 | Katherine Elizabeth Clark | Licensed Practical Nurse | 764 Patriot Pkwy Apt 203, Rock Hill, SC 29730-2750 | 2020-01-08 |
| 1770146243 | Katherine T Clark | Pharmacist | 60101 Bodnar Blvd Ste 100, Mishawaka, IN 46544-9328 | 2019-04-19 |
| 1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
| 1104364231 | Katherine Mary Clark | Nurse Anesthetist, Certified Registered | 9205 122nd Ct Ne, Apt A107, Kirkland, WA 98033-5882 | 2017-02-09 |
| 1528207131 | Katherine Clark | Physical Therapist | 1630 Campus Park Dr Ste D, Monroe, NC 28112-5270 | 2009-02-05 |
| 1275791949 | Katherine Diane Clark | Counselor | 400 W Midland Ave, Suite 202, Woodland Park, CO 80863-3144 | 2008-05-29 |
| 1194749978 | Katherine Elizabeth Clark | Dentist | 130 Ben Casey Dr, Suite 105, Fort Mill, SC 29708-6567 | 2006-07-26 |
| 1144289943 | Katherine W Clark | Family Medicine | 1 Paradies Ln, New Paltz, NY 12561-4031 | 2006-03-21 |
| 1548229404 | Katherine Ann Clark | Licensed Practical Nurse | 89 Laundon St, Elyria, OH 44035-6117 | 2006-03-20 |
| 1851918783 | Katherine Clark | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-06-26 |
| Street Address |
7500 MERCY RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68124-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295728368 | Thomas W Frederickson | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2005-08-24 |
| 1356940381 | Brenna M Hobson | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-10-21 |
| 1538778246 | Dua Noor Butt | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-07-28 |
| 1730706185 | Stephen James Cooper | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-07-01 |
| 1609493527 | Meghan E Farquhar | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-06-26 |
| 1275158909 | Rebecca M Toomsen | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-06-09 |
| 1770106783 | Jennifer E Cook | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-26 |
| 1427671445 | Wesley J Kerman | Student in an Organized Health Care Education/Training Program | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-26 |
| 1427670678 | Nicholas David Tran | Surgery | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-11 |
| 1538712260 | Kirsten A Boedeker-jenkins | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1295257657 | Margaret R Hodges | Dietitian, Registered | 8715 Oak Street, Omaha, NE 68124 | 2017-07-07 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1578010542 | Mary Ellen Royer | Counselor | 8715 Oak St., Omaha, NE 68124 | 2016-09-07 |
| 1750759361 | Pain Centers of The Midlands LLC | Anesthesiology | 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 | 2015-09-14 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1841631215 | Nebraska Organ Recovery System | Organ Procurement Organization | 8502 West Center Road, Omaha, NE 68124 | 2013-07-12 |
| Find all providers in zip 68124 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801016316 | Tilda M Wambsganss | Nurse Practitioner | Children's Hospital - Nicu, 8200 Dodge Street, Omaha, NE 68114-4113 | 2007-04-26 |
| 1619908274 | Susan E Knutson | Nurse Practitioner | 987740 Nebraska Medical Ctr, Omaha, NE 68198-7740 | 2006-07-05 |
| 1154706463 | Chelsey Leiting | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2015-07-28 |
| 1659754034 | Elizabeth Nicole Bronson | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2015-07-03 |
| 1760865323 | Emily Liu Burdett | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2015-07-01 |
| 1821497892 | Elicia Devall | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2014-08-15 |
| 1922354596 | Melissa Lynn Svoboda | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2012-07-31 |
| 1083969554 | Mackenzie Lynn Denich | Nurse Practitioner | 8200 Dodge St, Children's Hospital & Medical Center - Nicu, Omaha, NE 68114-4113 | 2012-07-19 |
| 1558649327 | Molly Elise Schlegel | Nurse Practitioner | 987400 Nebraska Medical Ctr, Omaha, NE 68198-7740 | 2011-07-28 |
| 1346549805 | Emily C Mohs | Nurse Practitioner | 8200 Dodge St, Children's Hospital & Medical Center - Nicu, Omaha, NE 68114-4113 | 2011-03-23 |
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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.