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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
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 |
Street Address |
6632 OAKS EDGE DR |
City | ZACHARY |
State | LA |
Zip Code | 70791-3259 |
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 |
Find all providers in zip 70791 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on TIFFANY RENEE CLARK.
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.