KINDRA CLARK (NPI# 1558765727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558765727 |
| Entity Type | Individual |
| Full Name | KINDRA CLARK |
| Credential | FNP-C |
| Practice Address |
124 Dallas St San Antonio TX 78205-1202 |
| Mailing Address |
8711 Village Dr Ste 114 San Antonio TX 78217-5419 |
| Practice Telephone | 2102241771 |
| Practice Fax Number | 2102299138 |
| Mailing Telephone | 2102241771 |
| Mailing Fax Number | 2102299138 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP126695 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538551585 | Kindra Christine's Clark | Counselor | 330 N Jefferson Davis Pkwy, New Orleans, LA 70119-5312 | 2015-02-27 |
| Street Address |
124 DALLAS ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78205-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982718185 | Charles H Beckmann | Internal Medicine | 124 Dallas St, San Antonio, TX 78205-1202 | 2006-08-18 |
| 1598116238 | Britany Lyn Kelley | Nurse Practitioner | 124 Dallas St, San Antonio, TX 78205-1202 | 2016-06-23 |
| 1811001936 | Clay R Skinner | Surgery | 124 Dallas St, San Antonio, TX 78205-1202 | 2006-08-18 |
| 1639283765 | Douglas W. Jenkins | Internal Medicine | 124 Dallas St, San Antonio, TX 78205-1202 | 2006-08-18 |
| 1093829137 | Jackie D Stephenson | Urology | 124 Dallas St, San Antonio, TX 78205-1202 | 2006-08-18 |
| 1407960552 | Lovelesh K Manocha | Internal Medicine | 124 Dallas St, San Antonio, TX 78205-1202 | 2006-08-18 |
| 1760596944 | Skinner Clinic, Pa | Internal Medicine | 124 Dallas St, San Antonio, TX 78205-1202 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862947 | Xeras Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 315 E. Commerce Street Suite 203, San Antonio, TX 78205 | 2019-10-13 |
| 1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
| 1508381757 | Davis Vision Inc | Eyewear Supplier (Equipment, not the service) | 175 E Houston, San Antonio, TX 78205 | 2017-08-09 |
| 1841647138 | Karen Tanguma | Counselor | 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 | 2016-05-17 |
| 1346652500 | Lone Star Script Care LLC | Case Management | 310 S. S Mary's St, 1290, San Antonio, TX 78205 | 2014-05-22 |
| 1821227919 | Teresa Yanhong Chen | Optometrist | 175 East Houston St, Visionworks, San Antonio, TX 78205 | 2009-07-09 |
| 1164650735 | Mark Joseph Trevino | Ophthalmology | 414 Navarro St Ste 400, San Antonio, TX 78205 | 2009-06-23 |
| 1386882520 | Nicolas A. Melgarejo | Internal Medicine | 343 W. Houston St., Suite #808, San Antonio, TX 78205 | 2009-01-26 |
| 1518135904 | Khan Z Shirani | Emergency Medicine | 414 Navarro St Ste 500, San Antonio, TX 78205 | 2008-02-19 |
| 1619076700 | Candace Lynese Bellamy | Family Medicine | 221 3rd St. West, San Antonio, TX 78205 | 2006-09-22 |
| Find all providers in zip 78205 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1033719521 | Macy Atkins | Nurse Practitioner | 6676 Utsa Blvd, San Antonio, TX 78249-5100 | 2020-10-26 |
| 1801494554 | Yordanis Rafael Fonseca Vega | Nurse Practitioner | 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 | 2020-10-14 |
| 1255939237 | Ashley Elizabeth Swartz | Nurse Practitioner | 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 | 2020-10-13 |
| 1871190173 | Cynthia B Elkins | Nurse Practitioner | 24806 Terlingua Bnd, San Antonio, TX 78261-2726 | 2020-10-08 |
| 1588270623 | Amanda Razo | Nurse Practitioner | 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 | 2020-09-23 |
| 1255946935 | Norberto Hernandez Iv | Nurse Practitioner | 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 | 2020-09-10 |
| 1033723655 | Hira Mughal | Nurse Practitioner | 9850 Twinbear Crk, San Antonio, TX 78245-9596 | 2020-09-01 |
| 1366055675 | Maria Christina Cruz Tijerina | Nurse Practitioner | 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 | 2020-08-26 |
| 1225649593 | Gina M Duron | Nurse Practitioner | 10730 Green Trail Dr, San Antonio, TX 78223-4224 | 2020-08-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78205 |
Please comment or provide details below to improve the information on KINDRA 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.