PATRICK NIKITA CLARK (NPI# 1548668346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548668346 |
| Entity Type | Individual |
| Full Name | PATRICK NIKITA CLARK |
| Practice Address |
4281 Durango Ln Memphis TN 38109-4721 |
| Practice Telephone | 9014975132 |
| Mailing Telephone | 9014975132 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048591 | Patrick Alan Clark | Optometrist | 202 N Mitchell St, Rio Grande City, TX 78582-2509 | 2020-06-22 |
| 1235313388 | Patrick Jeremiah Clark | Social Worker | 540 E First St, Waconia, MN 55387-1601 | 2007-12-26 |
| 1598751588 | Patrick A Clark | Family Medicine | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2005-09-23 |
| 1770018459 | Patrick Clark | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2017-05-01 |
| 1336508092 | Patrick J Clark | Dentist | 554 Kelly Street, Bumed, Attn: Credentialing & Privileging Directorate, Jacksonville, FL 32212 | 2016-02-23 |
| 1386941755 | Patrick Andrew Clark | Counselor | 9445 Farnham St, San Diego, CA 92123-1308 | 2011-02-22 |
| 1407036841 | Patrick W. Clark | Anesthesiology | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2007-11-13 |
| 1972609436 | Patrick Timothy Clark | Physician Assistant | 4020 Us Highway 27 N, Sebring, FL 33870-1333 | 2006-09-15 |
| 1558301242 | Patrick Clark | Chiropractor | 1600 W 38th St, Suite 412, Austin, TX 78731-6407 | 2006-06-08 |
| 1285699553 | Patrick James Clark Jr. | Optometrist | 101 Bodin Cir, 60 Mdg/amds Optometry Clinic, Travis Afb, CA 94535-1809 | 2006-04-19 |
| Street Address |
4281 DURANGO LN |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38109-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937791 | Phyllis Person | Technician | 292 Modder Ave, Memphis, TN 38109 | 2019-11-26 |
| 1598233900 | Catherine Denise Baines | Technician | 697 Whitehave Lane, Memphis, TN 38109 | 2018-11-05 |
| 1821597808 | Patricia Ann Brookins | Occupational Therapy Assistant | 922 Leacrest Ave, Memphis, TN 38109 | 2018-02-06 |
| 1922371657 | Rhonda Boutte | Pharmacist | 4155 Highway 61 South, Memphis, TN 38109 | 2012-02-10 |
| 1255616736 | Kandace Diggins | Pharmacist | 4155 Highway 61 S, Memphis, TN 38109 | 2011-10-17 |
| 1700161296 | Keith D Rubrum | Pharmacist | 4155 Hwy 61 S, Memphis, TN 38109 | 2011-10-15 |
| 1487940011 | Count Own Transportion | Non-emergency Medical Transport (VAN) | 4093 Ponca St, Memphis, TN 38109 | 2011-06-22 |
| 1083876502 | Patrickgrapevine | Community/Behavioral Health | 1833 South Third Street, Memphis, TN 38109 | 2008-06-26 |
| 1790837797 | 2001 Vision Center | Optometrist | 1930 South Third St, Memphis, TN 38109 | 2007-01-18 |
| 1750499984 | Jeff A. Beekhuizen | Family Medicine | 3362 S. Third Street, Christ Community Health Services Inc, Memphis, TN 38109 | 2006-08-28 |
| Find all providers in zip 38109 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021010 | Trinika Michelle Meredith | Non-emergency Medical Transport (VAN) | 4225 Ambrose Rd, Memphis, TN 38116-6772 | 2020-10-21 |
| 1215536172 | Community Rescue Medical Trans, LLC | Non-emergency Medical Transport (VAN) | 3340 Poplar Ave Ste 133, Memphis, TN 38111-4638 | 2020-10-21 |
| 1427662790 | Reliable Transports LLC | Non-emergency Medical Transport (VAN) | 3078 S Glengarry Rd, Memphis, TN 38128-5138 | 2020-09-03 |
| 1972117604 | Lacey Runit, Inc | Non-emergency Medical Transport (VAN) | 3759 Lakeview Rd, Memphis, TN 38116-3919 | 2020-09-01 |
| 1932713617 | Dung Nguyen | Non-emergency Medical Transport (VAN) | 601 S Mendenhall Rd, Memphis, TN 38117-4252 | 2020-09-01 |
| 1679181531 | Needy Transport | Non-emergency Medical Transport (VAN) | 1486 Catalina Rd, Memphis, TN 38111-5314 | 2020-07-16 |
| 1578187639 | Prestigious Transportation, LLC | Non-emergency Medical Transport (VAN) | 3845 Viscount Ave Ste 308, Memphis, TN 38118-6024 | 2020-06-04 |
| 1851913743 | Loranzo Andra Andrews | Non-emergency Medical Transport (VAN) | 4796 Lakeridge Dr, Memphis, TN 38109-6172 | 2020-05-13 |
| 1073149043 | Moore's Transportation, LLC | Non-emergency Medical Transport (VAN) | 2615 Wayne Pl, Memphis, TN 38133-8508 | 2020-03-21 |
| 1023654076 | Shampaon K Hewitt | Non-emergency Medical Transport (VAN) | 2074 Worthington Cir, Memphis, TN 38114-3003 | 2019-11-25 |
| Find all providers in MEMPHIS | ||||
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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.