MRS. CHRISTINA CLARK (NPI# 1578013769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578013769 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINA CLARK |
| Practice Address |
8591 Lakeside Dr Englewood FL 34224-7695 |
| Mailing Address |
4575 Se Dixie Hwy Stuart FL 34997-6826 |
| Practice Telephone | 8558326727 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154894988 | Christina Clark | Community Health Worker | 7028 Cobblestone Dr, Memphis, TN 38125-2612 | 2019-01-04 |
| 1427390350 | Christina D Clark | Technician, Other | 119 Lowenstein Ln, Cardington, OH 43315-9627 | 2013-03-18 |
| 1467762922 | Christina Michelle Clark | Dentist | 15310 Dawn Meadows Dr, Houston, TX 77068-3816 | 2010-10-18 |
| 1376710236 | Christina S Clark | Pharmacist | 2820 Keith Bridge Rd, Cumming, GA 30041-3935 | 2008-05-09 |
| 1003817081 | Christina Clark | Psychologist | 666 High St, Suite 200-d, Worthington, OH 43085-4135 | 2005-08-02 |
| 1386262830 | Christina Clark | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 | 2020-07-10 |
| 1013565498 | Christina Mae Clark | Physician Assistant | 25a June Street, Sanford, ME 04073 | 2019-08-29 |
| 1386206571 | Christina Clark | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-07-08 |
| 1235798497 | Christina Cheryl Clark | Chore Provider | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2019-06-11 |
| 1639682081 | Christina M Clark | Behavior Technician | 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | 2017-11-08 |
| Street Address |
8591 LAKESIDE DR |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34224-7695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740518364 | Whitney L May | Behavioral Analyst | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2009-11-19 |
| 1689274177 | Ibrahim Perez | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2020-10-26 |
| 1225679970 | Carin M Ballard | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2019-10-03 |
| 1306494745 | Yolaine Cabrera Calle | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2019-08-29 |
| 1609422666 | Yadira Ochoa Vecino | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2019-08-15 |
| 1407401359 | Nicole Garcia | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2019-08-07 |
| 1518521327 | Ashley Nicole Schmittendorf | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224 | 2019-04-26 |
| 1336625110 | Monica Sosa | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224 | 2018-07-16 |
| 1609360601 | Anjelica Maria Barnhart | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2018-06-21 |
| 1033616685 | Rachel Weiner | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2018-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609373471 | Tammy A Usher | Counselor | 7069 Peacock Ln, Englewood, FL 34224 | 2018-04-09 |
| 1265935720 | Philip Harold Case | Technician, Other | 8591 Lakeside Dr., Englewood, FL 34224 | 2018-03-12 |
| 1851453278 | Herbert Tommy Lane | Podiatrist | 2400 South Mccall Rd, Suite F, Englewood, FL 34224 | 2006-12-14 |
| 1811164288 | Bybiana Obrar Tagle | Physical Therapist | 1820 Meadowlark Ln, Englewood, FL 34224 | 2008-05-14 |
| 1114044831 | Beacon Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 2828 S Mccall Rd, Suite 26, Englewood, FL 34224 | 2007-03-26 |
| 1508925918 | Fashions for Health | Prosthetic/Orthotic Supplier | 2828 S Mccall Rd, Ste 26, Englewood, FL 34224 | 2006-12-08 |
| 1699729616 | Tiffany Square Family Practice P A | Family Medicine | 2828 S Mccall Rd, Ste 21, Englewood, FL 34224 | 2006-05-22 |
| 1801280532 | Rod Chandler Fuller | Pharmacist | 4100 Mccall Rd, Englewood, FL 34224-2933 | 2015-03-19 |
| 1699970269 | Barb Ericson | Durable Medical Equipment & Medical Supplies | 3985 S Access Rd, Englewood, FL 34224-3602 | 2007-06-15 |
| 1114181823 | Jacqueline Sue Hurney | Massage Therapist | 2980 S Mccall Rd, Suite D, Englewood, FL 34224-3604 | 2008-07-11 |
| Find all providers in zip 34224 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265935720 | Philip Harold Case | Technician, Other | 8591 Lakeside Dr., Englewood, FL 34224 | 2018-03-12 |
| 1336625110 | Monica Sosa | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224 | 2018-07-16 |
| 1033616685 | Rachel Weiner | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2018-04-10 |
| 1639676414 | Lindsey Brensinger | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2018-04-09 |
| 1710488705 | Katherine Bejerano | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2018-02-24 |
| 1366940090 | Derbie Eugene | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2018-01-29 |
| 1326546409 | Katherine Espinoza | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2018-01-24 |
| 1194238154 | Olga Elena Guerrero I | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2017-11-13 |
| 1063936276 | Sonja Pemberton | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2017-07-29 |
| 1821510702 | Nathaly Zohlandt | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2017-07-12 |
| Find all providers in ENGLEWOOD | ||||
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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.