JENNIFER P CLARK (NPI# 1588092167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588092167 |
| Entity Type | Individual |
| Full Name | JENNIFER P CLARK |
| Other Name | JENNIFER L PHILLIPS |
| Credential | PA-C |
| Practice Address |
360 Peak One Dr Ste 260 Frisco CO 80443 |
| Mailing Address |
Po Box 911057 Denver CO 80291-1057 |
| Practice Telephone | 9706685584 |
| Practice Fax Number | 9702622196 |
| Mailing Telephone | 8009530104 |
| Mailing Fax Number | 3037656640 |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0003835 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 3583007 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 360 Peak One Drive, Suite 260, Frisco, CO 80443 | 9706685584 | 9702622196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1982249926 | Jennifer Rae Clark | Nurse Practitioner | 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 | 2019-11-13 |
| 1528546827 | Jennifer Clark | Technician | 59 Forrester St Sw Apt B, Washington, DC 20032-2120 | 2018-07-30 |
| 1265940340 | Jennifer Anne Clark | Counselor | 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 | 2018-01-11 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1295124899 | Jennifer Clark | Behavioral Analyst | 662 Lake George Dr, Melbourne, FL 32940-2221 | 2015-01-20 |
| 1851707194 | Jennifer Sara Clark | Physical Therapist | 797 Evergreen Dr, West Hempstead, NY 11552-3406 | 2014-07-08 |
| 1083988794 | Jennifer Makiki Clark | Health Educator | 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 | 2012-02-27 |
| 1639484520 | Jennifer Ann Clark | Speech-Language Pathologist | 5903 Neptune Dr, Fort Collins, CO 80525-3905 | 2010-08-16 |
| 1245567247 | Jennifer Selleck Clark | Nurse Practitioner | 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 | 2009-11-11 |
| Street Address |
360 PEAK ONE DR STE 260 |
| City | FRISCO |
| State | CO |
| Zip Code | 80443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962400341 | Peter M. Lemis | Internal Medicine | 360 Peak One Dr, Suite 390, Frisco, CO 80443 | 2005-07-11 |
| 1316572803 | Colorado Retina Associates, PC | Ophthalmology | 360 Peak One Dr, Ste 300, Frisco, CO 80443-9900 | 2020-03-05 |
| 1669004792 | Catholic Health Initiatives Colorado | Surgery | 360 Peak One Dr, Ste 300, Frisco, CO 80443 | 2020-02-06 |
| 1174019871 | Taylor Elise Morrison | Midwife | 360 Peak One Dr, Frisco, CO 80443-5948 | 2018-07-05 |
| 1508360520 | Rhianna Marie French | Counselor | 360 Peak One Dr, Frisco, CO 80443-0000 | 2018-03-23 |
| 1497263487 | Emma Madison Lester Wallace | Physical Therapist | 360 Peak One Dr, Suite 190, Frisco, CO 80443 | 2018-01-12 |
| 1982143616 | Brandon Brashier | Clinic/Center | 360 Peak One Dr, Frisco, CO 80443 | 2017-02-14 |
| 1225483647 | Gabriel Robinson-lynch | Social Worker | 360 Peak One Dr, Ste 110, Frisco, CO 80443 | 2016-05-04 |
| 1982069597 | Kyle A Talbert | Student in an Organized Health Care Education/Training Program | 360 Peak One Dr, Ste 110, Frisco, CO 80443 | 2015-12-24 |
| 1073988770 | Yirka Diaz Platt | Case Manager/Care Coordinator | 360 Peak One Dr, Ste 110, Frisco, CO 80443 | 2015-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
| 1407499205 | Kerri Hudgins | Dental Hygienist | 360 Peak One Drive, Suite 325, # 4337, Frisco, CO 80443 | 2019-10-24 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1881241172 | Shannon Maser | Chiropractor | 117 S. 6th Ave, Unit 2, Frisco, CO 80443 | 2019-08-21 |
| 1508421785 | Juli M Joyce | Preventive Medicine | 360 Peak One Dr #230, Frisco, CO 80443 | 2019-05-03 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1427520469 | Claire Melissa Mann | Nurse Practitioner | 984 Ten Mile Dr., Suite 3, Frisco, CO 80443 | 2018-12-31 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568009827 | Madison Reid Ashley | Physician Assistant | 12950 Dallas Pkwy Ste 100, Frisco, TX 75033-3733 | 2019-12-05 |
| 1154983831 | Esmey Obeng | Physician Assistant | 3140 Legacy Dr Ste 130, Frisco, TX 75034-7919 | 2019-07-02 |
| 1750873667 | Summit Orthopedics Pllc | Physician Assistant | 68 School Road, Suite 100, Frisco, CO 80443 | 2018-06-06 |
| 1053824508 | Austin Spine Assists, Pllc | Physician Assistant | 8745 Gary Burns Dr, Suite 160 Pmb #326, Frisco, TX 75034 | 2017-11-07 |
| 1164933503 | Gina Rivas | Physician Assistant | 255 W Lebanon Ste 132, Frisco, TX 75036-3412 | 2017-10-12 |
| 1275080160 | Andrew K Lee | Physician Assistant | 5575 Warren Pkwy Ste 120, Frisco, TX 75034-4093 | 2016-09-08 |
| 1700262706 | Antonis Andreas Markou | Physician Assistant | 4685 Eldorado Pkwy, Suite 100, Frisco, TX 75033-0288 | 2015-08-03 |
| 1578967675 | Rachel D'ann Farmer | Physician Assistant | 4401 Coit Rd Ste 203, Frisco, TX 75035-0503 | 2014-10-17 |
| 1720487952 | Angela Ezell | Physician Assistant | 4461 Coit Rd Ste 405, Frisco, TX 75035-0531 | 2014-08-13 |
| 1831509793 | Kirsten Barrett Kuhn | Physician Assistant | 984 N. Ten Mile Dr #103, Frisco, CO 80443 | 2014-04-30 |
| Find all providers in FRISCO | ||||
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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.