KARRAH CLARK (NPI# 1699236794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699236794 |
| Entity Type | Individual |
| Full Name | KARRAH CLARK |
| Credential | APRN |
| Practice Address |
804 N Beech St Tallulah LA 71282-3809 |
| Mailing Address |
1154 Southfield Cutoff El Dorado AR 71730-3451 |
| Practice Telephone | 3185741453 |
| Mailing Telephone | 8705623392 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
204406 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
804 N BEECH ST |
| City | TALLULAH |
| State | LA |
| Zip Code | 71282-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457314494 | Ronald C. Wyche | Family Medicine | 804 N Beech St, Tallulah, LA 71282-3809 | 2006-04-10 |
| 1871149252 | Tori Lynette Walker | Family Medicine | 804 N Beech St, Tallulah, LA 71282-3809 | 2019-08-12 |
| 1609198308 | Don C Williams | Dentist | 804 N Beech St, Tallulah, LA 71282-3809 | 2010-02-22 |
| 1023036381 | Kathy G Corbin | Nurse Practitioner | 804 N Beech St, Tallulah, LA 71282-3809 | 2006-07-17 |
| 1750311064 | Outpatient Medical Center, Inc. | Dentist | 804 N Beech St, Tallulah, LA 71282 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211140 | Adonis Williams | Counselor | 410 E Askew Street, Tallulah, LA 71282 | 2020-09-30 |
| 1154957272 | Renewed Path Counseling Services LLC | Community/Behavioral Health | 602 Wood St Suite A, Richmond, LA 71282 | 2020-03-20 |
| 1639632136 | Ljconsulting & Professional Services, LLC | Counselor | 809 Bailey Rd., Tallulah, LA 71282 | 2019-04-11 |
| 1982120937 | Chryl Smith Lee | Counselor | 1705 W Feliciana Ave, Talullah, LA 71282 | 2017-08-21 |
| 1730619347 | Carmen Larae Allen | Counselor | 805 N Beech Street, Tallulah, LA 71282 | 2017-06-15 |
| 1205365665 | Brittney Vontres Scott | Case Manager/Care Coordinator | 1705 Felicia Avenue, Tallulah, LA 71282 | 2017-06-08 |
| 1427500123 | Sharon Jackson | Case Manager/Care Coordinator | 1000 S Elm St, Tallulah, LA 71282 | 2016-10-28 |
| 1982152989 | John Tanner Mcdonald | Pharmacist | 402 East Darrow Street, Tallulah, LA 71282 | 2016-09-19 |
| 1164874350 | Victor Lewis Jr. | Counselor | 1705 Felicia Drive, Tallulah, LOUISIANA 71282 | 2016-07-12 |
| 1356797492 | Keisha Prosser | Case Manager/Care Coordinator | 1705 Felicia Aveune, Tallulah, LA 71282 | 2016-05-08 |
| Find all providers in zip 71282 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138473 | Nickolas Matthews | Nurse Practitioner | 1307 Crowley Rayne Hwy Ste B, Crowley, LA 70526-8210 | 2020-09-14 |
| 1841809258 | Brandi Schwab | Nurse Practitioner | 157 Belington Ave, Madisonville, LA 70447-9109 | 2020-07-31 |
| 1780293878 | Cornerstone Childrens Clinic LLC | Nurse Practitioner | 44546 S Airport Rd Ste F, Hammond, LA 70403-0312 | 2020-07-24 |
| 1629691530 | Bayou Pediatrics | Nurse Practitioner | 2649 Arkansas Rd, West Monroe, LA 71291-8617 | 2020-05-27 |
| 1295376374 | Tatjana Michele Mimes | Nurse Practitioner | 3975 I 49 S Service Rd Ste 201, Opelousas, LA 70570-0775 | 2019-09-30 |
| 1063067411 | Arwa Mohammed Mohammed | Nurse Practitioner | 101 Medical Park Blvd Ste A, Pineville, LA 71360-8426 | 2019-08-02 |
| 1477118065 | Erin L Hurt | Nurse Practitioner | 59101 Amber St, Slidell, LA 70461-3708 | 2019-05-08 |
| 1033679501 | Laura Elizabeth Williamson | Nurse Practitioner | 501 Medical Center Dr Ste 100, Alexandria, LA 71301-8124 | 2019-03-21 |
| 1043703010 | Samantha Lee Lovecchio | Nurse Practitioner | 120 Ochsner Blvd Ste 245, Gretna, LA 70056-5280 | 2018-06-13 |
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 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.