CLARK PEDERSEN (NPI# 1679106728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679106728 |
| Entity Type | Individual |
| Full Name | CLARK PEDERSEN |
| Credential | RN |
| Practice Address |
201 Highway 11 Cairo NE 68824-2014 |
| Mailing Address |
Po Box 430 Cairo NE 68824-0430 |
| Practice Telephone | 3084854258 |
| Mailing Telephone | 3084854258 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
72872 | NE | Nursing Service Providers |
| Street Address |
201 HIGHWAY 11 |
| City | CAIRO |
| State | NE |
| Zip Code | 68824-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955195 | Bailey Jo Staab | Speech-Language Pathologist | 201 N State Hwy 11, Cairo, NE 68824 | 2019-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829482 | Jennifer M Sublett | Social Worker | 1721 Sterling Cir, Cairo, GA 39828-4501 | 2020-10-19 |
| 1851906481 | Joyce E Hinton | Technician | 719 Layfield Run Rd, Cairo, WV 26337-6489 | 2020-09-10 |
| 1952914418 | Candice Marie James | Nurse Practitioner | 235 Dollar Rd, Cairo, GA 39828-5361 | 2020-08-25 |
| 1962012229 | Shereen El Gazzar | Marriage & Family Therapist | 4 Syria St. Mohandessin, Giza, Apt. 82, Cairo, GIZA 20202 | 2020-08-03 |
| 1861010423 | Rural Urgent Care LLC | Clinic/Center | 440 Us Highway 84 E, Cairo, GA 39828-1647 | 2020-07-10 |
| 1043837453 | Stefania Pebler | Registered Nurse | 1301 Route 145, Cairo, NY 12413-2148 | 2020-07-01 |
| 1275156135 | Sarah Ruth Brown | Registered Nurse | Cairo- Durham Central School District, 1301 Route 145, Cairo, NY 12413 | 2020-05-26 |
| 1114549763 | Idella's Angels | Custodial Care Facility | 270 13th Ave Sw, Cairo, GA 39828-3423 | 2020-05-16 |
| 1316582448 | Aisia Shackelford | Social Worker | 905 County Building, Cairo, NY 12413 | 2019-11-13 |
| 1053955195 | Bailey Jo Staab | Speech-Language Pathologist | 201 N State Hwy 11, Cairo, NE 68824 | 2019-11-01 |
| Find all providers in CAIRO | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837453 | Stefania Pebler | Registered Nurse | 1301 Route 145, Cairo, NY 12413-2148 | 2020-07-01 |
| 1275156135 | Sarah Ruth Brown | Registered Nurse | Cairo- Durham Central School District, 1301 Route 145, Cairo, NY 12413 | 2020-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932257 | Cortney Sorensen | Registered Nurse | 300 Wyoming St, Murdock, NE 68407-5032 | 2020-11-05 |
| 1003422411 | Melissa Joy Woodson | Registered Nurse | Gering Junior High School, 800 Q Street, Gering, NE 69341 | 2020-09-21 |
| 1376159095 | Joni Marie Buzzell | Registered Nurse | 21280 Bonanza Blvd, Elkhorn, NE 68022-1803 | 2020-09-17 |
| 1578177861 | Kimberly J Riggert | Registered Nurse | 6601 Glass Ridge Dr, Lincoln, NE 68526-9752 | 2020-09-03 |
| 1831703628 | Patrina Johnson | Registered Nurse | 6102 Belvedere Blvd, Omaha, NE 68111-1275 | 2020-08-31 |
| 1104439348 | Barbara A Rippe | Registered Nurse | 824 10th Ave, Nebraska City, NE 68410-1370 | 2020-08-27 |
| 1245843853 | Hillary Kathrine Ferris | Registered Nurse | 1157 T Rd, Archer, NE 68816-2623 | 2020-08-25 |
| 1710596127 | Meghan Shoop | Registered Nurse | 6245 L St, Lincoln, NE 68510-2354 | 2020-07-31 |
| 1396354791 | Jennifer Kobiela | Registered Nurse | 4509 N 205th Ave, Elkhorn, NE 68022-4690 | 2020-07-31 |
| 1467061820 | Joni Renee Jahn | Registered Nurse | 6812 S 89th St, Lincoln, NE 68526-9739 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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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.