TIFFANY CLARK (NPI# 1639596398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639596398 |
Entity Type | Individual |
Full Name | TIFFANY CLARK |
Practice Address |
11830 Jenner Ln Saint Louis MO 63138-1212 |
Practice Telephone | 3144403020 |
Practice Fax Number | 3146532824 |
Mailing Telephone | 3144403020 |
Mailing Fax Number | 3146532824 |
Enumeration Date | 2014-03-19 |
Last Update Date | 2014-03-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689226805 | Tiffany Renee Clark | Clinic/Center | 6632 Oaks Edge Dr, Zachary, LA 70791-3259 | 2019-07-09 |
1033621214 | Tiffany Clark | Occupational Therapy Assistant | 64 Bradford Cir, Sugar Land, TX 77479-2976 | 2017-10-28 |
1760831838 | Tiffany Lynea Clark | Occupational Therapist | 7463 S Quail Cir Apt 313, Littleton, CO 80127-4922 | 2016-06-08 |
1134590953 | Tiffany Clark | Case Manager/Care Coordinator | 4253 Crossover Rd., Fayetteville, AR 72703 | 2015-10-20 |
1558655498 | Tiffany Dawn Clark | Massage Therapist | 3951 Arrowhead Dr, Unit C, Medford, OR 97504-7257 | 2011-06-08 |
1689831539 | Tiffany Clark | Licensed Practical Nurse | 20331 Tracy Ave, Euclid, OH 44123-3040 | 2008-05-19 |
1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
1245844380 | Tiffany Clark | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-05 |
1194334011 | Tiffany Renee' Clark | Pharmacist | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-07-27 |
1467934240 | Tiffany Clark | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-08-29 |
Street Address |
11830 JENNER LN |
City | SAINT LOUIS |
State | MO |
Zip Code | 63138-1212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043856396 | D&n Services | Registered Nurse | 1891 Arrowpoint Dr, St Louis, MO 63138 | 2019-11-21 |
1902468747 | Sincere Home Health Services | Home Health | 1313 Columbus Dr., Saint Louis, MO 63138 | 2019-07-02 |
1053899153 | Nadiyah L Brandon | Driver | 1841 Arrow Point Dr, Saint Louis, MO 63138 | 2018-07-31 |
1518489186 | Laconte Randle | Nurse Practitioner | 1225 Lakeview Ave, Saint Louis, MO 63138 | 2017-07-14 |
1811369499 | Tyler Musto | Dentist | 120000 Bellefontaine, St. Louis, MO 63138 | 2015-10-22 |
1346627106 | Family United Adult Day Center, LLC | Clinic/Center | 12444 Lusher Road, Saint Louis, MO 63138 | 2015-04-30 |
1629340765 | Samuel Mugwe Kimari | Specialist | 11838 Orletto Way, St.louis, MO 63138 | 2012-02-06 |
1447536453 | Cignodental Care LLP | Dentist | 12000 Bellefontaine, Saint Louis, MO 63138 | 2011-10-24 |
1255515995 | Timothy A Schaible Dmd PC | Dentist | 1544 Sierra Vista Plaza, St Louis, MO 63138 | 2007-12-18 |
1750406948 | Life Development Support Centers | Day Training, Developmentally Disabled Services | 12259-61 Bellefontaine Road, Saint Louis, MO 63138 | 2007-03-20 |
Find all providers in zip 63138 |
Taxonomy Code | 374U00000X |
Grouping | Nursing Service Related Providers |
Classification | Home Health Aide |
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689281156 | Darnice Hudson | Home Health Aide | 8723 Marcella Ave, Saint Louis, MO 63121-4105 | 2020-09-28 |
1235757832 | Legacy Home Care LLC | Home Health Aide | 1100 Mona Dr, Saint Louis, MO 63130-2130 | 2020-07-09 |
1700404845 | Tyronia Patricia Porchia | Home Health Aide | 8911 Ramona Ave, Saint Louis, MO 63121-4018 | 2020-07-06 |
1942826730 | Victoria J Washington | Home Health Aide | 4218 E Maffitt Ave, Saint Louis, MO 63113-2935 | 2020-06-17 |
1588287916 | St. Louis Homecare, LLC | Home Health Aide | 7961 Big Bend Blvd, Saint Louis, MO 63119-2703 | 2020-05-20 |
1013543016 | Shanika Whitfield | Home Health Aide | 4106 Enright Ave Apt 104, Saint Louis, MO 63108-3058 | 2020-03-21 |
1033758974 | Ronnika Lane | Home Health Aide | 24 Compton Ave, Saint Louis, MO 63135-2732 | 2019-12-23 |
1467097402 | Lynette Mcalpine | Home Health Aide | 3144 Chippewa St, Saint Louis, MO 63118-3632 | 2019-11-14 |
1285278069 | Justin Johnson | Home Health Aide | 5636 Statler Ave, Saint Louis, MO 63136-1127 | 2019-11-04 |
1538703814 | Latoya L Taylor | Home Health Aide | 10720 Sibley Ct, Saint Louis, MO 63136-4416 | 2019-10-30 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63138 |
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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.