AMY MARIE CLARK (NPI# 1558707984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558707984 |
Entity Type | Individual |
Full Name | AMY MARIE CLARK |
Credential | IDC |
Practice Address |
260 Barnes Rd Suffolk VA 23437 |
Practice Telephone | 7576521981 |
Mailing Telephone | 7576521981 |
Enumeration Date | 2013-05-13 |
Last Update Date | 2013-05-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IDC | 1710-1002X | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245640085 | Amy Clark | Nurse Practitioner | 1641 Highway 19e Byp, Elizabethton, TN 37643-4646 | 2014-05-01 |
1386988194 | Amy J. Clark | Registered Nurse | 731 18th Ave, San Francisco, CA 94121-3824 | 2012-11-16 |
1104121318 | Amy Beth Clark | Nurse Practitioner | 5197 Georgetown Rd, Franklin, PA 16323-4807 | 2011-01-19 |
1568766756 | Amy Sue Clark | Speech-Language Pathologist | 6 Erica Ct, Pueblo, CO 81001-1074 | 2011-01-02 |
1124328570 | Amy Leigh Clark | Social Worker | 1950 Trenton St, #412, Denver, CO 80220-2064 | 2010-11-01 |
1437461191 | Amy J Clark | Speech-Language Pathologist | 3609 Western Ave, Mattoon, IL 61938-2040 | 2010-07-10 |
1215257498 | Amy Clark | Occupational Therapy Assistant | 2770 Juniper Dr, Batesville, AR 72501-7801 | 2010-06-10 |
1881818656 | Amy Elizabeth Clark | Speech-Language Pathologist | 1027 Hiland St, Monticello, KY 42633-1370 | 2007-04-12 |
1023188018 | Amy Clark | Physical Therapist | 9381 East Stockton Blvd, Ste 108, Elk Grove, CA 95624 | 2006-11-08 |
1134236631 | Amy Clark | Physical Therapist | 506 Ne State Route 291, Lees Summit, MO 64086-2533 | 2006-08-23 |
Street Address |
260 BARNES RD |
City | SUFFOLK |
State | VA |
Zip Code | 23437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962984328 | Box Elder Behavioral Health LLC | Clinic/Center | 1795 Box Elder Road, Suffolk, VA 23437 | 2018-09-02 |
1548463185 | Mckenney Medical Group, Pllc | Family Medicine | 6712a S Quay Rd, Suffolk, VA 23437-8697 | 2007-06-11 |
1659897213 | Everett Service Provider Multi Medical Group | Durable Medical Equipment & Medical Supplies | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2017-08-16 |
1184111502 | John R Paige | Home Health | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2018-04-20 |
1073069399 | Gertrude Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7566 Quaker Dr, Suffolk, VA 23437-8906 | 2016-08-28 |
1780238105 | Lora Faulk Hunter | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-07-25 |
1629613526 | Riding With My Angels, LLC | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-11-14 |
1396915195 | Independent Senior Home Services | Home Health | 4599 Quaker Dr, Suffolk, VA 23437-9026 | 2008-03-07 |
1760572994 | A and R Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6020 Holy Neck Rd, Suffolk, VA 23437-9227 | 2006-10-16 |
1386132363 | Branchaud Behavioral Therapy | Behavioral Analyst | 5776 Greenwood Rd, Suffolk, VA 23437-9252 | 2018-04-25 |
Find all providers in zip 23437 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427281229 | Christopher Andrew Dejesus | Military Health Care Provider | 401 Locust Ct, Suffolk, VA 23434-6415 | 2009-08-26 |
1649428525 | Alexander Richard Misiunas | Military Health Care Provider | 2833 Heritage Dr, Suffolk, VA 23435-1637 | 2008-09-03 |
1972791218 | Theodore Harrison Jr. | Military Health Care Provider | 3020 Silver Charm Cir, Suffolk, VA 23435-3343 | 2007-10-11 |
1659451748 | Kimberly Helen Mcqueen | Military Health Care Provider | 3000 Kempton Park Rd, Suffolk, VA 23435-2553 | 2006-10-16 |
1912968488 | Aaron Donald Johnson | Military Health Care Provider | 519 Catapult Ct, Suffolk, VA 23434-8164 | 2006-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306455522 | Kevin Bradley | Military Health Care Provider | 903 13th St, Virginia Beach, VA 23451-4476 | 2020-07-23 |
1851900088 | Seth Walter | Military Health Care Provider | 1825 Olympic Dr, Virginia Beach, VA 23453-3720 | 2020-07-23 |
1912545534 | Ashton Neal Burnett | Military Health Care Provider | 1875 Cove Rd Bldg 3806, Virginia Beach, VA 23459-8911 | 2019-12-13 |
1447814090 | Francis Anthony Edquid | Military Health Care Provider | 9560 Farragut Ave, Norfolk, VA 23511-2715 | 2019-04-30 |
1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
1578056743 | Elis Bojaxhi | Military Health Care Provider | 3044 Ashlawn Ter, Virginia Beach, VA 23452-6508 | 2018-06-12 |
1801307327 | Michael Wesley Dixon | Military Health Care Provider | 4008 Buchanan Dr, Hampton, VA 23669-4608 | 2017-10-24 |
1942719380 | Clinton James Barton | Military Health Care Provider | 1016 Norwyk Ln, Williamsburg, VA 23188-3500 | 2017-09-28 |
1215463104 | Markeece Oneale | Military Health Care Provider | 13020 Amesbury St, Woodbridge, VA 22192-3702 | 2017-05-11 |
Find all providers with the same taxonomy |
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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.