TIFFANY RENEE CLARK


Address: 6632 Oaks Edge Dr, Zachary, LA 70791-3259
Phone: 2252685939

TIFFANY RENEE CLARK (NPI# 1689226805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689226805
Entity Type Individual
Full Name TIFFANY RENEE CLARK
Credential SMALL BUSINESS OWNER
Practice Address 6632 Oaks Edge Dr
Zachary
LA 70791-3259
Mailing Address Po Box 34
Zachary
LA 70791-0034
Practice Telephone 2252685939
Mailing Telephone 2252685939
Enumeration Date 2019-07-09
Last Update Date 2019-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Other Providers TIFFANY CLARK

NPI Name Taxonomy Address Enumeration
1033621214 Tiffany Clark Occupational Therapy Assistant 64 Bradford Cir, Sugar Land, TX 77479-2976 2017-10-28
1760831838 Tiffany Lynea Clark Occupational Therapist 7463 S Quail Cir Apt 313, Littleton, CO 80127-4922 2016-06-08
1134590953 Tiffany Clark Case Manager/Care Coordinator 4253 Crossover Rd., Fayetteville, AR 72703 2015-10-20
1639596398 Tiffany Clark Home Health Aide 11830 Jenner Ln, Saint Louis, MO 63138-1212 2014-03-19
1558655498 Tiffany Dawn Clark Massage Therapist 3951 Arrowhead Dr, Unit C, Medford, OR 97504-7257 2011-06-08
1689831539 Tiffany Clark Licensed Practical Nurse 20331 Tracy Ave, Euclid, OH 44123-3040 2008-05-19
1750588307 Tiffany Devon Clark Physical Therapy Assistant 432 Hermitage Dr., Danville, VA 24541 2007-06-28
1245844380 Tiffany Clark Pharmacist 1700 E 38th St, Marion, IN 46953-4568 2020-09-05
1194334011 Tiffany Renee' Clark Pharmacist 3701 Loop Rd, Tuscaloosa, AL 35404-5015 2020-07-27
1467934240 Tiffany Clark Social Worker 1430 Main St, Waltham, MA 02451-1623 2018-08-29

Office Location

Street Address 6632 OAKS EDGE DR
City ZACHARY
State LA
Zip Code 70791-3259

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164054110 Amandalin Hopkins Whittington Occupational Therapist 4555 Bert St, Zachary, LA 70791 2020-02-07
1346883352 Dr Terrell S Manuel LLC Nurse Practitioner 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 2019-10-22
1902451131 Edward Williams Case Manager/Care Coordinator 22749 Fairvway View Drive, Zachary, LA 70791 2019-08-05
1275090672 Ashley Talbot Thompson Nurse Practitioner 5645 Newell St, Zachary, LA 70791 2019-02-22
1659867265 American Oncology Partners, P.a. Internal Medicine 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 2018-07-06
1629574447 Darren Keith Ryland Massage Therapist 5037 Main St, Suite B, Zachary, LA 70791 2018-04-02
1306355102 Radiation Oncology Center - Zachary Clinic/Center 6180 Main Street, Ste B, Zachary, LA 70791 2017-09-25
1861913568 Sylvia Simone Henderson Case Manager/Care Coordinator 8932 Highland Oaks Ave, Zachary, LA 70791 2017-07-03
1346770674 Gaylian Anthony White Counselor 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 2017-06-19
1104353218 Jessica Rene Griffin Counselor 6676 Lakeridge Drive, Zachary, LA 70791 2017-05-19
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912516162 Silver Lining Adult Day Health Care LLC Clinic/Center 3419 Nw Evangeline Trwy Ste B7, Carencro, LA 70520-6241 2020-07-23
1275165862 Jacinda Meadors Clinic/Center 1059 Mcdonald St, Haynesville, LA 71038-5235 2020-02-11
1013563691 Compassionate At Heart LLC Clinic/Center 6324 Farrel Dr, Slidell, LA 70460-3927 2019-08-10
1770146987 North Tangi Adult Day Care Clinic/Center 1005 Nw Central Ave, Amite, LA 70422-5723 2019-04-15
1740741388 Mary Lees House of Love Adult Day Healthcare Clinic/Center 403 Church Street, Melville, LA 71353 2019-03-27
1144701517 The Hand-up Program, Inc. Clinic/Center 5224 Dickens Dr, Baton Rouge, LA 70812-3403 2018-08-23
1679098792 Clear Head Inc Clinic/Center 2310 Park Place Dr., Terrytown, LA 70056 2017-08-09
1184154858 The Guild At Raphael Village LLC Clinic/Center 500 Soraparu Street, New Orleans, LA 70130 2017-06-15
1063802379 Chez Elma Adult Day Health Care Center Inc Clinic/Center 154 N Hollywood Rd Ste C, Houma, LA 70364-2806 2015-01-26
1184013914 A1 Absolute Best Care L.L.C. Clinic/Center 1925 Commercial Dr, Harvey, LA 70058-2348 2015-01-16
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Competitor

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City ZACHARY
Zip Code 70791

Improve Information

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Dataset Information

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.

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