KRISTINA CLARK (NPI# 1598140147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598140147 |
| Entity Type | Individual |
| Full Name | KRISTINA CLARK |
| Credential | CRNP |
| Practice Address |
625 19th St S Jt 807 Birmingham AL 35249-6810 |
| Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
| Practice Telephone | 2059344696 |
| Practice Fax Number | 2059349118 |
| Mailing Telephone | 2059344696 |
| Mailing Fax Number | 2059349118 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-116388 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-116388 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063871341 | Kristina Clark | Registered Nurse | 1631 Nw Saint Lucie West Blvd Ste 208, Port Saint Lucie, FL 34986-1963 | 2016-02-16 |
| 1932733037 | Kristina Clark | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-02-27 |
| 1083173702 | Kristina M Clark | Counselor | 3375 Us Route 60, Huntington, WV 25705-2837 | 2019-03-13 |
| 1487905451 | Kristina Inez Clark | Speech-Language Pathologist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2012-09-30 |
| 1679836605 | Kristina M Clark | Registered Nurse | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2012-06-25 |
| 1164706586 | Kristina Kehoskie Clark | Physical Therapist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2011-10-04 |
| 1689858755 | Kristina Clark | Counselor | 3408 Andover St, Oakland, CA 94609-2817 | 2007-12-24 |
| 1114058906 | Kristina L Clark | Registered Nurse | 2045 Franklin St, Denver, CO 80205-5437 | 2007-03-07 |
| Street Address |
625 19TH ST S JT 807 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992835854 | Niambi Ashaki Horton | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35249-1712 | 2007-03-07 |
| 1104426998 | Mohamed Morsy Mohamed Morsy | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-10-29 |
| 1861008146 | Ahsan Raza | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-09-21 |
| 1700494200 | Sankalp Arora | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-21 |
| 1669080164 | Maria Gabriela Gastanadui Gonzalez | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-21 |
| 1861000432 | Hrishikesh Dadhich | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-20 |
| 1700494697 | Sanjith Prahas Krishnam | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-16 |
| 1457973075 | Joseph Michael Cortopassi Jr. | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-05-18 |
| 1255953360 | Timothy Graham Norwood | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-05-12 |
| 1538780341 | Igor Damasceno Vidal | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
| 1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
| 1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| Find all providers in zip 35249 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
| 1619436490 | Amy Gamble Cole | Nurse Practitioner | 601 S 19th St, Birmingham, AL 35294-0001 | 2019-03-19 |
| 1609347574 | Jordan Tyler Chambers | Nurse Practitioner | 619 19th St S # Ohb251, Birmingham, AL 35249-1932 | 2018-12-17 |
| 1962972968 | Jonathan Mccrary | Nurse Practitioner | 100 Pilot Medical Dr Ste 250, Birmingham, AL 35235-3448 | 2018-12-03 |
| 1164935110 | Christion Danielle Green | Nurse Practitioner | 619 19th St S Ste P915, Birmingham, AL 35233-1900 | 2017-11-13 |
| 1255843900 | Robert Richardson | Nurse Practitioner | 1802 6th Ave South, Np 5240 5th Floor North Pavillion, Birmingham, AL 35233 | 2017-11-02 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35249 |
Please comment or provide details below to improve the information on KRISTINA 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.