ANITA CLARK (NPI# 1578790176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578790176 |
| Entity Type | Individual |
| Full Name | ANITA CLARK |
| Credential | RN |
| Practice Address |
1203 Us Highway 98 Suite 2a Daphne AL 36526-4277 |
| Mailing Address |
2868 Acton Rd Birmingham AL 35243-2502 |
| Practice Telephone | 2516219167 |
| Mailing Telephone | 2059688360 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
1-020410 | AL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914610 | Anita Lynn Clark | Psychologist | 1157 E Clark Ave Ste B, Orcutt, CA 93455-5146 | 2020-02-19 |
| 1316424740 | Anita Coleen Clark | Counselor | 200 Immanual St, Nashville, AR 71852-3937 | 2018-07-27 |
| 1891836102 | Anita Gayle Clark | Registered Nurse | 4523 Saratoga Pl, Huber Heights, OH 45424-3781 | 2007-02-09 |
| 1316508757 | Anita Clark | Physical Therapy Assistant | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2019-06-26 |
| 1962728097 | Anita Clark | Registered Nurse | 227 E Main St, Festus, MO 63028-1952 | 2010-04-14 |
| Street Address |
1203 US HIGHWAY 98 SUITE 2A |
| City | DAPHNE |
| State | AL |
| Zip Code | 36526-4277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619922903 | Steve Cordon | Counselor | 1203 Us Highway 98, Suite 2-a, Daphne, AL 36526-4277 | 2006-05-24 |
| 1730586256 | Landon Rogers | Chiropractor | 1203 Us Highway 98, Suite 1c, Daphne, AL 36526-4277 | 2014-11-26 |
| 1407276033 | Katherine Penry | Psychologist | 1203 Us Highway 98, Unit 3b, Daphne, AL 36526-4277 | 2014-04-22 |
| 1265706170 | Bishop Physical Therapy LLC | Clinic/Center | 1203 Us Highway 98, Suite 1-c, Daphne, AL 36526-4277 | 2012-02-24 |
| 1093093494 | Phlebocare Mobile LLC | Clinical Medical Laboratory | 1203 Us Highway 98, Suite 2a-9, Daphne, AL 36526-4277 | 2011-08-02 |
| 1073748331 | Najahh Lavon Smith | Registered Nurse | 1203 Us Highway 98, Suite 2-a, Daphne, AL 36526 | 2009-05-15 |
| 1073709838 | Kelli King Kurtts | Social Worker | 1203 Us Highway 98, Suite 2a, Daphne, AL 36526-4277 | 2007-09-14 |
| 1518165398 | Michelle Mills | Registered Nurse | 1203 Us Highway 98, Suite 2a, Daphne, AL 36526 | 2007-07-03 |
| 1629157839 | Melinda Rader | Counselor | 1203 Us Highway 98, Suite 2a, Daphne, AL 36526 | 2006-11-06 |
| 1275557134 | Michele S White | Physical Therapist | 1203 Us Highway 98, Suite 1-c, Daphne, AL 36526-4277 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
| 1790345403 | Gregory Conner Reese | Student in an Organized Health Care Education/Training Program | 27654 Red Eagle Drive, Daphne, AL 36526 | 2019-06-14 |
| 1649787912 | Jubilee Family Dentistry, LLC | Dentist | 6475 Jordan Avenue, Daphne, AL 36526 | 2018-01-08 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1366957011 | Emily Jane Tisdale | Behavioral Analyst | 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526 | 2017-12-04 |
| 1437680600 | Blair Hoffman Pringle | Nurse Practitioner | 26179 Capitol Drive Suite A, Daphne, AL 36526 | 2017-03-21 |
| 1275915324 | Simara Sokom | Pharmacist | 29487 State Highway 181, Daphne, AL 36526 | 2015-06-25 |
| 1366859126 | Seth Matthew Gross | Pharmacist | 101b Villa Drive, Suite B-260, Daphne, AL 36526 | 2014-07-14 |
| 1841627940 | Michelle Renae Counts | Counselor | 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 | 2013-10-03 |
| 1194066613 | Ryan Nobles | Chiropractor | 6483 Van Buren Street, Suite 101, Daphne, AL 36526 | 2013-03-07 |
| Find all providers in zip 36526 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073748331 | Najahh Lavon Smith | Registered Nurse | 1203 Us Highway 98, Suite 2-a, Daphne, AL 36526 | 2009-05-15 |
| 1518165398 | Michelle Mills | Registered Nurse | 1203 Us Highway 98, Suite 2a, Daphne, AL 36526 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230377 | William Thomas Earnest | Registered Nurse | 6719 Taylor Cir, Montgomery, AL 36117-7706 | 2020-09-22 |
| 1558976605 | Melanie Morgan Rowe | Registered Nurse | 4009 Meadowood Dr, Birmingham, AL 35242-2707 | 2020-09-14 |
| 1467063065 | Jacquelyn Salceiro | Registered Nurse | 232 Raleigh Ave, Homewood, AL 35209-6549 | 2020-08-17 |
| 1184263816 | Julia Cheryl Tritch | Registered Nurse | 5130 Southbend Drive West, Mobile, AL 36619 | 2019-12-28 |
| 1871137463 | Nadia Baig Ali | Registered Nurse | 2401 Chalybe Trl, Hoover, AL 35226-6281 | 2019-11-06 |
| 1952964389 | Bessie King | Registered Nurse | 926 Cater Drive, Grove Hill, AL 36451 | 2019-04-22 |
| 1346507241 | Krystle Michelle Hammac | Registered Nurse | 11027 Highway 41, Brewton, AL 36426-6577 | 2012-04-16 |
| 1154697654 | Diana L White | Registered Nurse | 209 Basil O'connor Hall, Tuskegee University, Tuskegee, AL 36088 | 2012-03-29 |
| 1568699163 | Rebecca Lanier | Registered Nurse | 409 2nd Ave Nw, Cullman, AL 35055-2877 | 2009-06-22 |
| 1023125119 | Pat Heath Pelham | Registered Nurse | 550 Montgomery Hwy, Suite 101, Birmingham, AL 35216-1844 | 2006-08-24 |
| 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.