KRISTEN CLARK (NPI# 1598264475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598264475 |
| Entity Type | Individual |
| Full Name | KRISTEN CLARK |
| Practice Address |
252 American Spirit Rd Winter Haven FL 33880-8102 |
| Mailing Address |
817 Terranova Rd Winter Haven FL 33884-3441 |
| Practice Telephone | 8632687984 |
| Practice Fax Number | 8632687985 |
| Mailing Telephone | 8632687984 |
| Mailing Fax Number | 8632687985 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | L15000150993 | FL | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447717111 | Kristen Marie Clark | Nurse Practitioner | 1724 W Beach Ave, Chicago, IL 60622-2108 | 2019-02-28 |
| 1174959910 | Kristen Leigh Clark | Licensed Practical Nurse | 105 Edgewood Ave, Buffalo, NY 14220-1765 | 2013-09-25 |
| 1134385933 | Kristen M Clark | Audiologist | 26224 N Tatum Blvd Ste 14, Phoenix, AZ 85050-7500 | 2008-07-31 |
| 1528670502 | Kristen Clark | Speech-Language Pathologist | 2080 Citygate Dr, Columbus, OH 43219-3591 | 2020-08-20 |
| 1609488568 | Kristen Noelle Clark | Behavior Technician | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 | 2020-08-20 |
| 1023575891 | Kristen Clark | Specialist/Technologist | 537 Union Ave, Grants Pass, OR 97527-5543 | 2019-02-27 |
| 1750884508 | Kristen Clark | Occupational Therapist | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2018-03-16 |
| 1245769850 | Kristen Ann Clark | Physician Assistant | 15 Hospital Center Blvd Ste 1, Hilton Head Island, SC 29926-2760 | 2017-06-07 |
| 1336501964 | Kristen Clark | Nurse Practitioner | 3001 N Rocky Point Dr E, Suite 185, Tampa, FL 33607-5810 | 2016-03-23 |
| 1376903385 | Kristen M Clark | Physician Assistant | 200 Robinhood Medical Plz, Winston Salem, NC 27106-5471 | 2016-03-03 |
| Street Address |
252 AMERICAN SPIRIT RD |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962901553 | Integrity Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 252 American Spirit Rd, Winter Haven, FL 33880-8102 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676772 | Crystal Lee Parrish | Non-emergency Medical Transport (VAN) | 3139 Whispering Trails St, Winter Haven, FL 33884-1846 | 2020-07-14 |
| 1386116622 | Patrick Dorcant | Non-emergency Medical Transport (VAN) | 2433 Avenue D Sw, Winter Haven, FL 33880-2552 | 2018-12-27 |
| 1649758210 | Santiago Fragoso Sr. | Non-emergency Medical Transport (VAN) | 5453 Chandler Dr, Winter Haven, FL 33884-4155 | 2018-08-05 |
| 1700388048 | Elite Innovations, LLC | Non-emergency Medical Transport (VAN) | 270 W Central Ave Apt A, Winter Haven, FL 33880-2925 | 2018-03-02 |
| 1689913154 | Fare Way Transportation | Non-emergency Medical Transport (VAN) | 114 Allen Ave, Winter Haven, FL 33880-1219 | 2013-02-04 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1669799847 | Mark Allen Fitez | Non-emergency Medical Transport (VAN) | 120 Coleman Road, Advance Transport LLC, Winter Haven, FL 33880 | 2010-04-27 |
| 1124682935 | Mat L.L.C. | Non-emergency Medical Transport (VAN) | 5453 Chandler Dr, Winter Haven, FL 33884-4155 | 2019-04-26 |
| 1043873680 | Divine Hope Transportation Inc | Non-emergency Medical Transport (VAN) | 3859 Fieldstone Cir, Winter Haven, FL 33881-3249 | 2019-04-18 |
| 1962901553 | Integrity Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 252 American Spirit Rd, Winter Haven, FL 33880-8102 | 2018-02-08 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on KRISTEN 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.