CAROLYN BENTLEY CLARK (NPI# 1558639534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558639534 |
| Entity Type | Individual |
| Full Name | CAROLYN BENTLEY CLARK |
| Credential | RN |
| Practice Address |
261 E Willow St Suite C Long Beach CA 90806-2637 |
| Practice Telephone | 5622900212 |
| Mailing Telephone | 5622900212 |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 801931 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 33-0150193 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124429857 | Carolyn Clark | Nurse Practitioner | 6010 Hidden Valley Rd Ste 115, Carlsbad, CA 92011-4219 | 2014-09-12 |
| 1679915664 | Carolyn Gay Clark | Nurse Practitioner | 1232 Branson Hills Pkwy Ste 106, Branson, MO 65616-4189 | 2013-07-19 |
| 1932489184 | Carolyn Kennedy Clark | Acupuncturist | 813 Ormond Ct, San Diego, CA 92109-7370 | 2011-08-19 |
| 1396061255 | Carolyn A Clark | Social Worker | 150 California Dr, Yountville, CA 94599-1411 | 2010-04-15 |
| 1235274242 | Carolyn E. Clark | Obstetrics & Gynecology | 1124 19th St, Huntington, WV 25701-3904 | 2007-02-20 |
| 1962416172 | Carolyn R Clark | Optometrist | 800 Sw Alder St, Portland, OR 97205-3107 | 2006-07-27 |
| 1316933567 | Carolyn B Clark | Nurse Practitioner | 1217 S East Ave Ste 104, Sarasota, FL 34239-2350 | 2005-09-23 |
| 1003434069 | Carolyn Teresa Clark | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-07-07 |
| 1215568118 | Carolyn Clark | Social Worker | 60 O St Nw, Washington, DC 20001-1259 | 2020-01-29 |
| 1184108300 | Carolyn Clark | Social Worker | 4150 Earhart Blvd, New Orleans, LA 70125-1955 | 2018-09-24 |
| Street Address |
261 E WILLOW ST SUITE C |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720109341 | Obria Medical Clinics of Southern California, Inc. | Clinic/Center | 261 E Willow St, Suite C, Long Beach, CA 90806-2637 | 2007-04-02 |
| 1164950424 | Diana Bianca Solis | Licensed Vocational Nurse | 261 E Willow St, Long Beach, CA 90806-2637 | 2017-05-31 |
| 1164897625 | Keighly Grace Cogan | Registered Nurse | 261 E Willow St, Suite C, Long Beach, CA 90806-2637 | 2015-12-09 |
| 1942631288 | Erin Keith | Registered Nurse | 261 E Willow St, Long Beach, CA 90806-2637 | 2013-12-12 |
| 1326309931 | Elizabeth Anne Payumo | Registered Nurse | 261 E Willow St, Suite C, Long Beach, CA 90806-2637 | 2012-05-31 |
| 1275842841 | Helen Mary Espinoza-tovar | Registered Nurse | 261 E Willow St, #c, Long Beach, CA 90806-2637 | 2010-09-30 |
| 1033426119 | Nicole Cabrera | Registered Nurse | 261 E Willow St, Suite C, Long Beach, CA 90806-2637 | 2010-09-09 |
| 1386963098 | Elaine Mcstravick | Registered Nurse | 261 E Willow St, Suite C, Long Beach, CA 90806-2637 | 2010-05-19 |
| 1720303423 | Stephanie Lorraine Duron | Registered Nurse | 261 E Willow St, Long Beach, CA 90806-2637 | 2010-04-06 |
| 1407089360 | Debra Jean Edwards | Registered Nurse | 261 E Willow St, Long Beach, CA 90806-2637 | 2009-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834334 | Steven Sollie | Registered Nurse | 418 E Hullett St, Long Beach, CA 90805-3426 | 2020-09-04 |
| 1235742446 | Michelle Brock | Registered Nurse | 4508 Atlantic Ave Ste A-443, Long Beach, CA 90807-1520 | 2020-08-26 |
| 1790395721 | Antonio Orellana | Registered Nurse | 106 La Verne Ave, Long Beach, CA 90803-3335 | 2020-08-04 |
| 1154949477 | Veronica Elizabeth Almeida | Registered Nurse | 245 W Broadway Apt 625, Long Beach, CA 90802-5049 | 2020-07-13 |
| 1518593128 | Elizabeth Yvonne Shouse | Registered Nurse | 3801 E Pacific Coast Hwy Apt 231, Long Beach, CA 90804-2041 | 2020-03-14 |
| 1750912432 | Kristopher Gavino | Registered Nurse | 3530 Magnolia Ave, Long Beach, CA 90806-1173 | 2020-01-30 |
| 1043854326 | Kathleen Ann Sweeney | Registered Nurse | 17 Indiana Ave, Long Beach, NY 11561-1205 | 2019-10-30 |
| 1174177232 | Christine Phuma | Registered Nurse | 4937 Daisy Ave, Long Beach, CA 90805-6711 | 2019-07-27 |
| 1407326119 | Anthony J Gann | Registered Nurse | 173 Santa Ana Ave, Long Beach, CA 90803-3461 | 2018-11-26 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on CAROLYN BENTLEY CLARK.
| 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.