MR. CLINT P. MALCOM (NPI# 1689620650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689620650 |
| Entity Type | Individual |
| Full Name | MR. CLINT P. MALCOM |
| Credential | MH APRN |
| Practice Address |
2315 W 39th St Unit #6 Kearney NE 68845-8327 |
| Practice Telephone | 3082333847 |
| Practice Fax Number | 3082335921 |
| Mailing Telephone | 3082333847 |
| Mailing Fax Number | 3082335921 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
110744 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2315 W 39TH ST UNIT #6 |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-8327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336403724 | Troy Clayton | Counselor | 2315 W 39th St, Kearney, NE 68845-8327 | 2012-06-29 |
| 1861787681 | Patricia Anne Jorgensen | Counselor | 2315 W 39th St, Lighthouse Counseling Center, Kearney, NE 68845-8327 | 2011-06-09 |
| 1356572820 | David James Plautz | Counselor | 2315 W 39th St, Kearney, NE 68845-8327 | 2009-08-01 |
| 1669612503 | Jerry Van Winkle, Psyd, LLC | Community/Behavioral Health | 2315 W 39th St, Kearney, NE 68845-8327 | 2009-03-05 |
| 1811133168 | Nina G. Swanson | Counselor | 2315 W 39th St, Box 4, Kearney, NE 68845-8327 | 2008-12-16 |
| 1386827970 | F. Lee Arlington | Counselor | 2315 W 39th St, Suite 1113, Kearney, NE 68845-8327 | 2007-12-06 |
| 1851430375 | Jill C Cook | Counselor | 2315 W 39th St, 102, Kearney, NE 68845 | 2007-02-05 |
| 1124115043 | Jerry Alan Van Winkle | Psychologist | 2315 W 39th St, Kearney, NE 68845-8327 | 2006-10-10 |
| 1225120413 | Central Nebraska Life Skills, Inc | Counselor | 2315 W 39th St, Suite 113, Kearney, NE 68845-8327 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427417997 | Encounter Telehealth, LLC | Nurse Practitioner | 2121 B Ave, Suite 3, Kearney, NE 68847-5476 | 2016-02-12 |
| 1144402025 | Aab Communications, Inc | Nurse Practitioner | 2117 A Ave, Kearney, NE 68847-5414 | 2007-12-03 |
| 1942846506 | New Hope Psychiatry LLC | Nurse Practitioner | 2908 W 39th St Ste B, Kearney, NE 68845-1245 | 2019-11-19 |
| 1427496413 | Emily Erin Hensley | Nurse Practitioner | 2908 W 39th St Ste B, Kearney, NE 68845-1245 | 2013-06-12 |
| 1952642464 | Patricia Jo Ealy | Nurse Practitioner | 3720 A Ave Ste E, Kearney, NE 68847-8169 | 2013-03-07 |
| 1710238860 | Jill J Loshonkohl | Nurse Practitioner | 3000 2nd Ave, Suite 204, Kearney, NE 68847-3507 | 2012-09-28 |
| 1154699395 | Brighter Day Health LLC | Nurse Practitioner | 904 E 25th St, Kearney, NE 68847-4603 | 2011-12-02 |
| 1205025848 | Susan H Winchester | Nurse Practitioner | 3811 Central Ave, Suite B-1, Kearney, NE 68847-8173 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186757 | Huong Le Psychiatric Care LLC | Nurse Practitioner | 4444 S 86th St Ste 102, Lincoln, NE 68526-9253 | 2020-02-15 |
| 1881233070 | Diane Margaret Teadtke | Nurse Practitioner | 52518 890 Rd, Niobrara, NE 68760-7003 | 2020-01-05 |
| 1730724584 | Amberger LLC | Nurse Practitioner | 3610 N 163rd Plz Ste 207, Omaha, NE 68116-2164 | 2019-11-14 |
| 1891252219 | Shayla Hinrichsen | Nurse Practitioner | 5539 S 27th St Ste 101, Lincoln, NE 68512-1600 | 2019-02-21 |
| 1073090049 | Resilience Mental Health Services, LLC | Nurse Practitioner | 2820 E Us Highway 34 Ste 2, Grand Island, NE 68801-9734 | 2018-07-23 |
| 1871092353 | Janette Elaine Thomas Stallings | Nurse Practitioner | 706 N 129th St Ste 111, Omaha, NE 68154-6116 | 2018-02-09 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1356885024 | Pro Care Mental Health Inc | Nurse Practitioner | 421 S 243rd St, Waterloo, NE 68069-4704 | 2016-12-14 |
| 1396293502 | Meaningful Psychiatric Services LLC | Nurse Practitioner | 9338 Forest Glen Dr, Lincoln, NE 68526-9636 | 2016-09-15 |
| 1871048959 | Refuge Mental Health Services, LLC | Nurse Practitioner | 8045 L St Ste 4, Omaha, NE 68127-1746 | 2016-08-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. CLINT P. MALCOM.
| 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.