HERMAN CLARK (NPI# 1639776628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639776628 |
| Entity Type | Individual |
| Full Name | HERMAN CLARK |
| Practice Address |
4269 Edson Pl Ne Washington DC 20019-8024 |
| Mailing Address |
2417 Kenton Pl Temple Hills MD 20748-6812 |
| Practice Telephone | 2024151205 |
| Mailing Telephone | 2024151205 |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144550005 | Herman Clark | Counselor | 6614 Fawn View Drive, Charlotte, NC 28216 | 2009-12-28 |
| Street Address |
4269 EDSON PL NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20019-8024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1033735170 | Regenia Elizabeth Sayles | Home Health Aide | 3924 Minnesota Ave Ne Washington, Dc, DC 20019 | 2020-06-24 |
| 1417578733 | Alycia Paige Heiner | Student in an Organized Health Care Education/Training Program | Parkside Health Center, 765 Kenilworth Terrace Ne, Washington, DC 20019 | 2020-04-27 |
| 1598398786 | Issa Munu | Technician | 45th Street Ne, 604, Washington, DC 20019 | 2020-02-17 |
| 1538708391 | Chanda Constance Mcmahan | Psychologist | 3320 Ames St. N.e., Washington, DC 20019 | 2019-12-27 |
| 1215582978 | Howard University | Clinic/Center | 4414-4430 Benning Road, Ne, Washington, DC 20019 | 2019-08-08 |
| 1255985776 | Kemba Kelton | Technician | 3204 1/2 East Capitol Street Nw, Washington, DC 20019 | 2019-08-01 |
| 1659930196 | Brittany Deshanta Fleming | Counselor | 1561 45th St Ne, Washington, DC 20019 | 2019-06-09 |
| 1346701299 | Chelsie Esek | Speech-Language Pathologist | 1234 Singleton Blvd., Washington Dc, DC 20019 | 2019-03-25 |
| 1174081434 | Kathleen Estelle Williams | Nurse's Aide | 12045th Street North East, 613, Washington, DC 20019 | 2019-03-06 |
| Find all providers in zip 20019 | ||||
| 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 |
|---|---|---|---|---|
| 1780285155 | Dionne L Giles-dicks | Home Health Aide | 610 Allison St Ne, Washington, DC 20017-2213 | 2020-11-03 |
| 1710588256 | Sharita C. Slayton | Home Health Aide | 918 42nd St Ne, Washington, DC 20019-1932 | 2020-11-02 |
| 1407456445 | Beverly Day | Home Health Aide | 900 G St Ne Apt 424, Washington, DC 20002-7414 | 2020-10-29 |
| 1861091449 | John Williams | Home Health Aide | 2852 23rd Pl Se Apt 304, Washington, DC 20020-7961 | 2020-10-23 |
| 1154920700 | Montina Holland | Home Health Aide | 2906 Naylor Rd Se Apt A153, Washington, DC 20020-2646 | 2020-10-23 |
| 1568061554 | Hassie Leon Merritt | Home Health Aide | 2515 Alabama Ave Se Apt 214, Washington, DC 20020-3240 | 2020-10-20 |
| 1891393476 | Tyrone Lewis | Home Health Aide | 325 P St Sw, Washington, DC 20024-2910 | 2020-10-15 |
| 1255939823 | Gary Anthony Dugger | Home Health Aide | 1357 Spring Rd Nw, Washington, DC 20010-1324 | 2020-10-15 |
| 1760080311 | Mercedes Virginia Horsey | Home Health Aide | 531 G St Sw Apt 102, Washington, DC 20024-2748 | 2020-10-15 |
| 1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20019 |
Please comment or provide details below to improve the information on HERMAN 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.