MS. VICKI E CLARK (NPI# 1609878800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609878800 |
Entity Type | Individual |
Full Name | MS. VICKI E CLARK |
Credential | NP |
Practice Address |
460 Country Club Rd Lumberton NC 28360-9494 |
Practice Telephone | 9106713200 |
Practice Fax Number | 9106713484 |
Mailing Telephone | 9106713200 |
Mailing Fax Number | 9106713484 |
Enumeration Date | 2005-06-01 |
Last Update Date | 2012-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
940105 | NC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649415209 | Vicki Lynn Clark | Social Worker | 13111 Westbrook Rd, Brookville, OH 45309-8732 | 2008-12-11 |
1972990349 | Vicki Clark | Specialist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2015-04-23 |
1972921468 | Vicki Marie Clark | Registered Nurse | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2014-04-01 |
1992145106 | Vicki L. Clark | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-07-02 |
1770603268 | Vicki L Clark | Occupational Therapy Assistant | 36 Clinton St, Concord, NH 03301-2359 | 2007-03-30 |
1184790859 | Vicki Lyne Clark | Counselor | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2006-11-27 |
1215041249 | Vicki Lynn Clark | Social Worker | 601 Highway 6 W, Iowa City, IA 52246-2209 | 2006-08-18 |
1699704114 | Vicki Hugh Clark | Dietitian, Registered | 274 E Chicago St, Coldwater, MI 49036-2041 | 2006-06-30 |
1578539094 | Vicki L Clark | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-02-24 |
Street Address |
460 COUNTRY CLUB RD |
City | LUMBERTON |
State | NC |
Zip Code | 28360-9494 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233303 | Robert Rhea Earnest | Pediatrics | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2005-05-23 |
1548762727 | Lindsay Michelle Henderson | Nurse Practitioner | 460 Country Club Rd, Lumberton, NC 28360 | 2018-03-05 |
1487010401 | Chiara Lynn Carter | Physician Assistant | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2016-01-06 |
1881970598 | County of Robeson | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2011-10-26 |
1801037262 | Robeson County Health Department | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2009-03-16 |
1871769372 | Mary Bullard Cummings | Dentist | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2008-05-05 |
1659553634 | Deena Joanne Locklear | Dietitian, Registered | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2007-11-30 |
1144415563 | Josephine Emunah | Dietitian, Registered | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2007-09-10 |
1871787705 | Monica Mcvicker | Nutritionist | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2007-09-04 |
1669697108 | County of Robeson | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2007-04-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387003 | Heather Lynn Cook | Specialist/Technologist | 4901 Dawn Drive Ste. 2300, Lumberton, NC 28360 | 2020-05-07 |
1093363780 | Michael Paul Hammonds | Technician | 112 Ethel Dr, Lumberton, NC 28360 | 2019-08-27 |
1679120646 | Helen G. Eller | Technician | 2066 Us Hwy 74 West, Lumberton, NC 28360 | 2019-08-23 |
1659846541 | Cassaundra Paige Locklear | Counselor | 1560 Oak Grove Church Road, Lumberton, NC 28360 | 2018-10-08 |
1689114191 | Neketa Floyd | Counselor | 3531 Lacky Street, Lumberton, NC 28360 | 2017-03-02 |
1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
1891179453 | Chaqulla Woods | Social Worker | 107 Angel Dr, Lumberton, NC 28360 | 2015-07-14 |
1780089490 | Craig Slotke | Dentist | 600 Country Club Road, Robeson County Community Service Learning Center, Lumberton, NC 28360 | 2014-10-24 |
1538563473 | East Carolina University School of Dental Medicine-lumberton | Dentist | 600 Country Club Dr., Lumberton, NC 28360 | 2014-10-21 |
1033436266 | Primary Health Choice, Inc. | Community/Behavioral Health | 107e Mount Moriah Church Road, Lumberton, NC 28360 | 2010-04-28 |
Find all providers in zip 28360 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912909128 | Connie Miller Freeman | Nurse Practitioner | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2005-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386856649 | Victoria L Kell | Nurse Practitioner | 247 Memorial Dr, Jacksonville, NC 28546-6333 | 2007-05-07 |
1376610022 | Deborah Shamberger Barrett | Nurse Practitioner | 705 Pinehurst Ave, Moore County Health Department, Carthage, NC 28327-0279 | 2006-11-29 |
1922106426 | Wanda A Fuschino | Nurse Practitioner | 349 Penny Ln Ne, Concord, NC 28025-1221 | 2006-09-20 |
1699879239 | Bertha Lee Hendrix | Nurse Practitioner | 227 Fountainhead Ln, Fayetteville, NC 28301-5417 | 2006-09-12 |
1679508253 | Angela M Walling | Nurse Practitioner | 3 Regional Cir Ste B, Pinehurst, NC 28374-9796 | 2006-07-11 |
1467415752 | Paula Thum | Nurse Practitioner | 1998 Hendersonville Rd, Suite 31, Asheville, NC 28803-2349 | 2006-04-08 |
1932169612 | Mary Coffey Blalock | Nurse Practitioner | 177 New Vale Rd, Office of E.h. Perez, Md, Newland, NC 28657-9198 | 2006-03-25 |
1336144518 | Victoria Edwards Smith | Nurse Practitioner | 25 Courthouse Dr. Ne, Box 9, Bolivia, NC 28422-7582 | 2005-06-15 |
1790788024 | Donna White Bass | Nurse Practitioner | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2005-05-31 |
1003431404 | Rhonda Mann Lovvorn | Nurse Practitioner | 700 Tilghman Dr, Dunn, NC 28334-0007 | 2020-06-11 |
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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.