TRACY A CLARK (NPI# 1598778854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598778854 |
| Entity Type | Individual |
| Full Name | TRACY A CLARK |
| Credential | ARNP |
| Practice Address |
21624 Midland Dr Shawnee KS 66218-9064 |
| Mailing Address |
901 E 104th St Ms 400s Kansas City MO 64131 |
| Practice Telephone | 9136430075 |
| Practice Fax Number | 9136430077 |
| Mailing Telephone | 8165028752 |
| Mailing Fax Number | 8169329670 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
45920 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013386085 | Tracy Ann Clark | Hearing Instrument Specialist | 3389 W Woolbright Rd, Suite A, Boynton Beach, FL 33436-7245 | 2015-09-21 |
| 1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1831103522 | Tracy Clark | Social Worker | 50 Cypress Dr, Glenville, NY 12302-4344 | 2006-07-28 |
| 1104387687 | Tracy Clark Jr. | Behavior Technician | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2019-03-27 |
| 1174011670 | Tracy Clark | Behavior Technician | 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 | 2018-04-30 |
| 1356856801 | Tracy Michelle Clark | Social Worker | 430 Niagara St, Buffalo, NY 14201-1886 | 2017-12-06 |
| 1477907368 | Tracy Clark | Counselor | 1406 Esplanade Ave, New Orleans, LA 70116-1803 | 2016-04-18 |
| 1952793051 | Tracy Manning Clark | Dentist | 1500 S Dairy Ashford Rd, Ste. 114, Houston, TX 77077-3854 | 2015-02-26 |
| 1922433473 | Tracy Sue Clark | Pharmacist | 7425 Wrigley Dr, Ste 104, Pasco, WA 99301-5292 | 2013-09-03 |
| Street Address |
21624 MIDLAND DR |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66218-9064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417937145 | Gordon Blake Clark | Obstetrics & Gynecology | 21624 Midland Dr, Shawnee, KS 66218-9064 | 2006-01-19 |
| 1336417831 | Women' S and Family Care Dba Gtc Research | Clinic/Center | 21624 Midland Dr, Shawnee, KS 66218-9064 | 2011-12-12 |
| 1790852135 | Comprehensive Women's Care, Inc. | Obstetrics & Gynecology | 21624 Midland Dr, Shawnee, KS 66218-9064 | 2006-11-29 |
| 1386689578 | Comprehensive Women's Care, Inc. | Family Medicine | 21624 Midland Dr, Shawnee, KS 66218-9064 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568695401 | Judy Ann Wegman | Dietitian, Registered | 18601 Midland Drive, Shawnee, KS 66218 | 2009-08-26 |
| 1790888733 | Alberto Ramon Castaneda | Dentist | 21620 Midland Drive, Suite A, Shawnee, KS 66218 | 2006-09-06 |
| 1205317799 | Calm Connection Counseling, LLC | Clinic/Center | 5905 Longview St, Shawnee, KS 66218-7504 | 2018-08-23 |
| 1245711738 | Candace L Holloman | Counselor | 5905 Longview St, Shawnee, KS 66218-7504 | 2018-08-23 |
| 1124416342 | Shelly Lien | Physical Therapy Assistant | 5934 Theden St, Shawnee, KS 66218-7800 | 2014-12-23 |
| 1770614562 | Valarie Mcneely | Long Term Care Hospital | 5822 Woodstock St, Shawnee, KS 66218-8400 | 2007-03-07 |
| 1750775144 | Kamlesh Trivedi | Pharmacist | 20814 W 72nd Ter, Shawnee, KS 66218-8646 | 2015-03-24 |
| 1205447984 | Brooke Nichole Steiner | Pharmacist | 21702 W 58th St, Shawnee, KS 66218-8933 | 2020-08-14 |
| 1710289418 | Eileen Marita Burrow | Behavioral Analyst | 4905 Lakecrest Dr, Shawnee, KS 66218-8964 | 2010-12-01 |
| 1003168402 | Clint Mcalister | Specialist/Technologist | 6324 Theden St, Shawnee, KS 66218-8975 | 2012-10-09 |
| Find all providers in zip 66218 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275167397 | Kari Dawn Campbell | Nurse Practitioner | 4306 N Pottenger Ave, Shawnee, OK 74804-1267 | 2020-02-27 |
| 1609400266 | Kelly Elaine Bryden | Nurse Practitioner | 5117 Mccoy St, Shawnee, KS 66226-3807 | 2020-02-23 |
| 1316578842 | Amanda M Rigney | Nurse Practitioner | 322 S Aydelotte Ave, Shawnee, OK 74801-7611 | 2020-02-03 |
| 1326686767 | Jessica J. Hinchcliff | Nurse Practitioner | 5615 Maurer Rd, Shawnee, KS 66217-9766 | 2019-12-17 |
| 1023652815 | Sabrina Macalister | Nurse Practitioner | 30 Redbud Ln, Shawnee, OK 74801-8732 | 2019-11-05 |
| 1093364622 | Christiana Archibong | Nurse Practitioner | 21508 W 51st Pl, Shawnee, KS 66226-9731 | 2019-09-06 |
| 1003379728 | Marta Beshe | Nurse Practitioner | 5818 Theden St, Shawnee, KS 66218-9232 | 2019-04-09 |
| 1902370802 | Kelli Le Cox | Nurse Practitioner | 624 W Independence St Ste 116, Shawnee, OK 74804-4329 | 2019-01-14 |
| 1497243851 | Kendra Kirkendall | Nurse Practitioner | 421 N Beard Ave, Shawnee, OK 74801-6715 | 2018-05-01 |
| 1972975092 | Kristina Feezor | Nurse Practitioner | 1904 Gordon Cooper Dr, Shawnee, OK 74801-8603 | 2015-10-28 |
| Find all providers in SHAWNEE | ||||
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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.