AUDREY DIANE CLARK (NPI# 1679040950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679040950 |
| Entity Type | Individual |
| Full Name | AUDREY DIANE CLARK |
| Credential | FNP-C |
| Practice Address |
450 W River St Orange MA 01364-1435 |
| Practice Telephone | 9785447800 |
| Mailing Telephone | 9785447800 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2311962 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307530 | Audrey R Clark | Nurse Practitioner | 7936 Brady Rd Nw, Albuquerque, NM 87120-1246 | 2019-10-10 |
| 1346872959 | Audrey Clark | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-11 |
| 1376025130 | Audrey Clark | Speech-Language Pathologist | 4501 Dudmar Dr, Austin, TX 78735-6913 | 2018-08-29 |
| 1164961447 | Audrey Clark | Physical Therapist | 1471 Wills Creek Valley Dr, Cambridge, OH 43725-8620 | 2017-02-20 |
| Street Address |
450 W RIVER ST |
| City | ORANGE |
| State | MA |
| Zip Code | 01364-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699765776 | Mohsen M Noreldin | Internal Medicine | 450 W River St, Orange, MA 01364-1435 | 2005-10-28 |
| 1124566831 | West River Dental Associates, PC | Dentist | 450 W River St, Suite 2, Orange, MA 01364-1435 | 2017-02-02 |
| 1174073019 | Stephen Segatore Jr. | Nurse Practitioner | 450 W River St, Orange, MA 01364-1435 | 2016-10-04 |
| 1053715235 | Sukhdev Singh | Dentist | 450 W River St, Orange, MA 01364-1435 | 2014-10-16 |
| 1033458203 | Maria Jones Heidenreich | Nurse Practitioner | 450 W River St, Orange, MA 01364-1435 | 2013-02-08 |
| 1255508214 | Michael Witt | Counselor | 450 W River St, Orange, MA 01364-1435 | 2008-05-09 |
| 1164617445 | Joseph G Gomez Jr. | Dentist | 450 W River St, Suite 2, Orange, MA 01364-1435 | 2007-09-11 |
| 1750575551 | Paul A. Larocque, D.m.d | Dentist | 450 W River St, Suite 2, Orange, MA 01364-1435 | 2007-09-05 |
| 1205966298 | Adelheid Kleiner Strickland | Social Worker | 450 W River St, Orange, MA 01364-1435 | 2007-03-07 |
| 1598806879 | Orange Pulmonary and Internal Medicine | Internal Medicine | 450 W River St, Orange, MA 01364-1435 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013464528 | Kayla Bosselait | Counselor | 15 E. Main St, #205, Orange, MA 01364 | 2016-09-01 |
| 1417223462 | Andrea Lee Callahan | Counselor | 131 West Main Street, Chd-first Floor, Orange, MA 01364 | 2012-03-23 |
| 1194950626 | Tasha Chemel | Counselor | 131 Main Street, Orange, MA 01364 | 2009-05-28 |
| 1831103233 | Debra Marie Kott | Social Worker | 131 W Main St, Orange, MA 01364 | 2006-07-28 |
| 1114943149 | Donald Y. Stiles | Optometrist | 119 New Athol Rd, Orange, MA 01364 | 2006-07-14 |
| 1629136981 | Paul Antoni Kowacki | Chiropractor | 28 North Main St, Orange, MA 01364-0118 | 2006-12-05 |
| 1992842215 | Resmi P Nair | Dentist | 9 Grove St, Orange, MA 01364-1009 | 2007-01-30 |
| 1811406465 | Manish Juneja | Dentist | 9 Grove St, Orange, MA 01364-1009 | 2017-09-27 |
| 1982738209 | Orange Dental Group LLC | Dentist | 9 Grove St, Orange, MA 01364-1009 | 2007-03-16 |
| 1962833186 | Julie Stanley | Counselor | 73 Lincoln Ave, Orange, MA 01364-1012 | 2013-12-13 |
| Find all providers in zip 01364 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452966 | Velvet Maloy | Nurse Practitioner | 1312 County Road 3139, Orange, TX 77632-1633 | 2020-09-18 |
| 1265048151 | Christina Marie O'guinn | Nurse Practitioner | 2660 N Santiago Blvd # 100, Orange, CA 92867-1859 | 2020-09-16 |
| 1548871429 | Holley Moreau | Nurse Practitioner | 6136 Crosstimber Dr, Orange, TX 77632-7610 | 2020-08-13 |
| 1174147581 | Stephanie Michelle Chapman | Nurse Practitioner | 387 N Clark St, Orange, CA 92868-2218 | 2020-06-01 |
| 1952920621 | Natasha Caruth | Nurse Practitioner | 301 Seven Oaks Way, Orange, NJ 07050-3376 | 2020-04-13 |
| 1053944488 | Laura Lee Arvizo | Nurse Practitioner | 432 County Road 3139, Orange, TX 77632-1532 | 2020-02-13 |
| 1447801402 | Joel George Pohorence | Nurse Practitioner | 10080 E Greenwood Dr, Orange, TX 77630-3241 | 2019-09-21 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1568924793 | Denise Giovanazzi Weinberg | Nurse Practitioner | 3215 East Abbey Lane, Orange, CA 92867 | 2019-04-05 |
| 1033688445 | Tatiana Tumeniuk | Nurse Practitioner | 240 Indian River Rd Ste A5, Orange, CT 06477-3690 | 2018-11-14 |
| Find all providers in ORANGE | ||||
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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.