ELIZABETH CLARK (NPI# 1699217927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699217927 |
| Entity Type | Individual |
| Full Name | ELIZABETH CLARK |
| Credential | MA, LPC |
| Practice Address |
4200 Ridgecrest Cir Ste A-6 Amarillo TX 79109-5416 |
| Mailing Address |
5204 While A Way Rd Amarillo TX 79109-5750 |
| Practice Telephone | 8064435362 |
| Mailing Telephone | 8064435362 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
64835 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1346604584 | Elizabeth Ann Clark | Nurse Practitioner | 32 Allen Ct, Staten Island, NY 10310-2703 | 2016-04-13 |
| 1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
| 1477946770 | Elizabeth Clark | Counselor | 1250 Route 171, Woodstock, CT 06281-2127 | 2015-03-10 |
| 1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| 1689989493 | Elizabeth Ann Clark | Pharmacist | 2601 S New Hope Rd, Gastonia, NC 28056-2200 | 2010-08-17 |
| Street Address |
4200 RIDGECREST CIR STE A-6 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418890 | Alicia Artz | Counselor | 6812 Digby Ln, Amarillo, TX 79119-1126 | 2020-08-20 |
| 1013533256 | Ivy Hazel Bermudez | Counselor | 1145 Shasta Dr, Amarillo, TX 79110-3526 | 2020-06-23 |
| 1841816568 | Kristen Barrick | Counselor | 3611 S Soncy Rd Ste 9b, Amarillo, TX 79119-6408 | 2020-06-18 |
| 1902428626 | Cassie Kerns | Counselor | 4200 Ridgecrest Cir Ste A6, Amarillo, TX 79109-5416 | 2020-05-15 |
| 1407482110 | Laci Lee Merrell | Counselor | 2028 S Austin St Apt 704, Amarillo, TX 79109-1959 | 2020-03-14 |
| 1164053377 | Rachel Deann Hall | Counselor | 19401 Saddlehorn Rd, Amarillo, TX 79119-1231 | 2020-01-28 |
| 1386286177 | Tiffany Wright | Counselor | 7971 Sw 45th Ave Ste 200, Amarillo, TX 79119-7035 | 2019-10-13 |
| 1922652866 | Rachel Buckalew | Counselor | 3014 Sw 26th Ave Ste 4000, Amarillo, TX 79109-3175 | 2019-07-29 |
| 1700439718 | Jacqueline Flynt | Counselor | 2801 Wolflin Ave, Amarillo, TX 79109-1649 | 2019-07-18 |
| 1245892686 | Jayme York | Counselor | 7002 Covenant Ln, Amarillo, TX 79109-6879 | 2019-07-06 |
| Find all providers in AMARILLO | ||||
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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.