MS. LA KEISHA LY-NEA CLARK (NPI# 1558703900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558703900 |
Entity Type | Individual |
Full Name | MS. LA KEISHA LY-NEA CLARK |
Credential | MA |
Practice Address |
512 Woodsdale Ave Toledo OH 43609-2960 |
Practice Telephone | 4193811419 |
Mailing Telephone | 4193811419 |
Enumeration Date | 2013-07-26 |
Last Update Date | 2013-07-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 1234 | OH | Student, Health Care |
Street Address |
512 WOODSDALE AVE |
City | TOLEDO |
State | OH |
Zip Code | 43609-2960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982186334 | Ciara Palmer | Licensed Practical Nurse | 2208 Dana St., Toledo, OH 43609 | 2018-09-02 |
1750738373 | Andreas Wilson | Contractor | 3416 Gibraltar Heights, Toledo, OH 43609 | 2016-05-24 |
1154780401 | Angel Rhunell Sawyer | Home Health Aide | 3459 Gibralter Heights Dr, Apt 05, Toledo, OH 43609 | 2016-02-15 |
1881059111 | Tatia Marie Brooks | Home Health Aide | 325 1/2 Mayberry, Toledo, OH 43609 | 2015-12-31 |
1023426129 | Verna Sharon Willis | Home Health Aide | 915 Wright, Toledo, OH 43609 | 2014-08-01 |
1548514557 | Ieshea Sealey | Home Health Aide | 456 Shasta Dr, Toledo, OH 43609 | 2012-10-30 |
1316104706 | Neighborhood Health Association | Clinic/Center | 732 Southside Community Health Center, Toledo, OH 43609 | 2008-05-22 |
1376700211 | Neighborhood Health Association | Clinic/Center | 1 Aurora Gonzalez Drive, Toledo, OH 43609 | 2008-05-19 |
1790775054 | Kettlie Joseph Daniels | Specialist | 980 South Byrne Road, Toledo, OH 43609 | 2005-10-26 |
1780922922 | Brian K Bugbee | Massage Therapist | 743 S Byrne Rd, Toledo, OH 43609-1005 | 2013-01-23 |
Find all providers in zip 43609 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
1699390617 | Morgan Cheyenne Cutting | Student in an Organized Health Care Education/Training Program | 1177 Treetop Ct, Toledo, OH 43615-6787 | 2020-06-15 |
1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
Find all providers in TOLEDO |
Please comment or provide details below to improve the information on MS. LA KEISHA LY-NEA 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.