CHARLENE M CLARK (NPI# 1669804886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669804886 |
| Entity Type | Individual |
| Full Name | CHARLENE M CLARK |
| Credential | LPN |
| Practice Address |
27 Heyward St Brentwood NY 11717-1909 |
| Practice Telephone | 6312731439 |
| Mailing Telephone | 6312731439 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 289760 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878156 | Charlene Renee Clark | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2019-12-11 |
| 1538700927 | Charlene Clark | Physical Therapy Assistant | 4707 140th Ave N Ste 313, Clearwater, FL 33762-3841 | 2019-10-07 |
| 1144621756 | Charlene Clark | Nurse Practitioner | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2014-09-15 |
| Street Address |
27 HEYWARD ST |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| 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 |
|---|---|---|---|---|
| 1578161113 | John Francis Vasquez | Licensed Practical Nurse | 45 Hagen St, Brentwood, NY 11717-6405 | 2020-10-15 |
| 1255952040 | Gracieuse Fontaine | Licensed Practical Nurse | 134 Floyd St, Brentwood, NY 11717-2647 | 2020-05-03 |
| 1174162432 | Savitri Marsh | Licensed Practical Nurse | 12 Stockton St, Brentwood, NY 11717-1715 | 2020-01-03 |
| 1851938146 | Tiffany Lynn Romeu | Licensed Practical Nurse | 90 Eisenhower Ave, Brentwood, NY 11717-1002 | 2019-12-05 |
| 1023652575 | Ryan Pierre | Licensed Practical Nurse | 53 4th St, Brentwood, NY 11717-5512 | 2019-10-28 |
| 1053960153 | Vanessa Sanchez | Licensed Practical Nurse | 32 Evergreen Ave, Brentwood, NY 11717-4004 | 2019-09-10 |
| 1255983524 | Melissa Hermelange Bernadin | Licensed Practical Nurse | 141 Cocoanut St, Brentwood, NY 11717-7223 | 2019-07-16 |
| 1730647157 | Aja Leanna Sims | Licensed Practical Nurse | 19 Morton St, Brentwood, NY 11717-2207 | 2019-03-05 |
| 1891253126 | Kaylee Jean Acevedo | Licensed Practical Nurse | 22 Yarnell St, Brentwood, NY 11717-3321 | 2019-03-05 |
| 1124582135 | Karen L Claros Argueta | Licensed Practical Nurse | 12 Chapel Hill Dr, Brentwood, NY 11717-1920 | 2019-01-23 |
| Find all providers in BRENTWOOD | ||||
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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.