CATHERINE CLARK (NPI# 1659460038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659460038 |
| Entity Type | Individual |
| Full Name | CATHERINE CLARK |
| Practice Address |
391 Myrtle Avenue Suite 4a Albany NY 12208 |
| Mailing Address |
711 Troy Schenectady Rd Suite 201 Latham NY 12110-2442 |
| Practice Telephone | 5182072273 |
| Practice Fax Number | 5182072293 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
243850 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584331 | Catherine Mary Clark | Behavior Technician | 306 Anchors Pl, Niceville, FL 32578-2523 | 2020-09-27 |
| 1548826860 | Catherine Tagulao Clark | Assisted Living Facility | 9320 Cobble Mountain Rd, Bakersfield, CA 93313-5373 | 2019-05-13 |
| 1396226114 | Catherine Lynn Clark | Nurse Practitioner | 11866 Hastings Bridge Road, Lovejoy, GA 30250 | 2018-08-29 |
| 1477926954 | Catherine Clark | Occupational Therapist | 1 Olympic Place, Towson University Iwb, Suite 200, Towson, MD 21204 | 2015-11-05 |
| 1457755878 | Catherine Clark | Occupational Therapist | 1936 N Mohawk St, Apt 2, Chicago, IL 60614-5251 | 2014-10-14 |
| 1801126826 | Catherine Marie Clark | Licensed Practical Nurse | Bldg. 310, Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2010-01-14 |
| 1629220421 | Catherine Celeste Clark | Audiologist | 52 Lomb Memorial Dr, Rochester, NY 14623-5604 | 2008-10-13 |
| 1902029432 | Catherine Clark | Social Worker | 18 Lewis Ave, Great Barrington, MA 01230-1722 | 2007-04-11 |
| 1851414726 | Catherine M. Clark | Counselor | 3217 W Biddison St, Fort Worth, TX 76109-2906 | 2007-04-07 |
| 1861573156 | Catherine E Clark | Nurse Practitioner | 7887 E Belleview, Suite 1100, Englewood, CO 80111-6015 | 2006-10-17 |
| Street Address |
391 MYRTLE AVENUE SUITE 4A |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427078054 | Sean Patrick Roche | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-07-19 |
| 1134773401 | Vascular Surgery Clinic of Amch | Clinic/Center | 391 Myrtle Avenue, 5th Floor, Albany, NY 12208 | 2019-07-25 |
| 1679956643 | Frances Athena Rosario | Nurse Practitioner | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2015-07-08 |
| 1689958019 | Community Care Physicians, PC | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2011-10-04 |
| 1487889994 | David Lawrence Colman | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2009-05-28 |
| 1962665737 | Carlos Lucien Elguero | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2008-07-02 |
| 1053515932 | John Pugh | Psychiatry & Neurology | 391 Myrtle Avenue, Albany, NY 12208-3478 | 2007-06-13 |
| 1689797607 | Elena Rosenbaum | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2007-04-06 |
| 1922182856 | Mary Johnston | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-10-25 |
| 1790874170 | Neil Mitnick | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131583 | Mfon Bassey | Nurse Practitioner | 14 N Manning Blvd Apt B-25, Albany, NY 12206-1963 | 2020-10-09 |
| 1245837194 | Thomas W Mansfield | Nurse Practitioner | 425 W 3rd Ave Ste 410, Albany, GA 31701-1954 | 2020-10-05 |
| 1770199408 | April Mccluster | Nurse Practitioner | 2753 Bettys Dr, Albany, GA 31705-9510 | 2020-09-17 |
| 1457967317 | Cynthia Ann Chaney | Nurse Practitioner | 4546 Lacosta Dr, Albany, GA 31721-9433 | 2020-09-16 |
| 1083223135 | Jamila Cruz | Nurse Practitioner | 1758 Philema Rd S, Albany, GA 31701-4781 | 2020-07-24 |
| 1083239313 | Danajoy Melissa Vincent | Nurse Practitioner | 416 Partridge Dr, Albany, GA 31707-3038 | 2020-06-12 |
| 1033744602 | Rodesia Ashanta Woodson | Nurse Practitioner | 2504 Devon Dr, Albany, GA 31721-2128 | 2020-03-04 |
| 1972156057 | Kristen Lynn Cook | Nurse Practitioner | 2601 Stuart Ave Ste 100, Albany, GA 31707-1664 | 2019-07-18 |
| 1255992046 | Jennifer Lieberman | Nurse Practitioner | 1365 Washington Ave Ste 100, Albany, NY 12206-1098 | 2019-06-24 |
| 1053976993 | Amanda Bylsma | Nurse Practitioner | 5 Palisades Dr Ste 200, Albany, NY 12205-6433 | 2019-05-07 |
| Find all providers in ALBANY | ||||
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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.