MR. RUSSELL L CLARK (NPI# 1548641087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548641087 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL L CLARK |
| Credential | FNP-C |
| Practice Address |
3443 Dickerson Pike Ste 660 Nashville TN 37207-2519 |
| Practice Telephone | 6159881109 |
| Mailing Telephone | 6159881109 |
| Mailing Fax Number | 9497987514 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2018-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20179 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q014516 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538692249 | Russell Clark | Audiologist | 3101 E State St Ste 2108, Eagle, ID 83616-6232 | 2017-04-10 |
| 1639530686 | Russell Derrick Clark | Physical Therapist | 1011 Grove Rd Ste 2a, Greenville, SC 29605-4660 | 2016-03-17 |
| 1952554420 | Russell Clark | General Acute Care Hospital | 1412 Liatris Way, Beaumont, CA 92223-8468 | 2008-10-28 |
| 1740232156 | Russell J Clark | Specialist | Two St. Mark's Place, Ste 110, La Grange, TX 78945 | 2006-05-16 |
| 1336784578 | Russell M Clark | Counselor | 528 E Main St Ste W, John Day, OR 97845-1289 | 2019-11-12 |
| 1306060249 | Russell Adelbert Clark | Dentist | 7825 47th Ave Ne, Suite C, Marysville, WA 98270-3732 | 2007-04-12 |
| 1790787497 | Russell Patrick Clark | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2005-08-11 |
| Street Address |
3443 DICKERSON PIKE STE 660 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37207-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396250155 | Clark Family Practice, Pllc | Clinic/Center | 3443 Dickerson Pike Ste 660, Nashville, TN 37207-2519 | 2017-12-02 |
| 1356890982 | Sarah King | Nurse Practitioner | 3443 Dickerson Pike Ste 660, Nashville, TN 37207 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993982 | Shanika Ostine | Non-emergency Medical Transport (VAN) | 4200 Polk Forest Circle, Nashville, TN 37207 | 2014-04-28 |
| 1285052456 | Roman Weber | Occupational Therapist | 103 Arcaro Place, Brentwood, TN 37207 | 2014-04-03 |
| 1255609475 | Thomas' Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 129 Mccarthy Park Lane, Nashville, TN 37207 | 2011-12-02 |
| 1770868895 | Focus Medical Clinic, Pllc | Social Worker | 213w Maplewood Lane, Suite 400, Nashville, TN 37207 | 2011-10-20 |
| 1346535895 | Jazzee Adult Day Services | Home Health | 715 Joseph Ave, Nashville, TN 37207 | 2011-06-13 |
| 1740588938 | Adme | Durable Medical Equipment & Medical Supplies | 3443 Dickerson Pike, Skyline Medical Plaza Suit G-20, Adme, Nashville, TN 37207 | 2011-03-11 |
| 1942508924 | Shameka Dowell | In Home Supportive Care | 2422 Grover Street, Nashville, TN 37207 | 2011-03-01 |
| 1780996546 | Lindsey Marie Blalock | Nurse Practitioner | 3005 Ambrose Ave, Nashville, TN 37207 | 2010-07-09 |
| 1518293737 | Questcare Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 721 Roman Dr., Nashville, TN 37207 | 2009-10-22 |
| 1134330913 | Chariot Transportation, Inc. | Non-emergency Medical Transport (VAN) | 1302 Baptist World Center Dr., Nashville, TN 37207 | 2007-05-24 |
| Find all providers in zip 37207 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1629684568 | Kathryn Ann Vago | Nurse Practitioner | 320 Doe Ridge Ct, Nashville, TN 37214-4741 | 2020-09-16 |
| 1275149163 | Courtney Lee Hunt | Nurse Practitioner | 5202 Centennial Blvd Ste 110, Nashville, TN 37209-1478 | 2020-09-16 |
| 1205441276 | Amy J Evans | Nurse Practitioner | 912a Spain Ave, Nashville, TN 37216-3625 | 2020-09-15 |
| 1285248898 | Stephanie Logan | Nurse Practitioner | 4720 Brighton Village Dr Unit A8, Nashville, TN 37211-6672 | 2020-09-01 |
| 1811500739 | Lauren Megan Jones | Nurse Practitioner | 1204b N 6th St, Nashville, TN 37207-5518 | 2020-08-29 |
| 1841802741 | Shasti Miller | Nurse Practitioner | 512 Old Hickory Blvd Apt 1819, Nashville, TN 37209-6104 | 2020-08-20 |
| 1770193633 | Nesheba Joy Facey-thomas | Nurse Practitioner | 1413 Ramble Hill Cir, Nashville, TN 37211-8530 | 2020-08-05 |
| Find all providers in NASHVILLE | ||||
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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.