MARY CHRISTINE CLARK (NPI# 1740698935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740698935 |
| Entity Type | Individual |
| Full Name | MARY CHRISTINE CLARK |
| Credential | RCP, IBCLC |
| Practice Address |
2774 230th St Cushing WI 54006-3421 |
| Practice Telephone | 7158082603 |
| Mailing Telephone | 7158082603 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958252 | Mary Beth Clark | Speech-Language Pathologist | 18 La Salle Ave, Sioux City, IA 51104-2412 | 2020-06-25 |
| 1205461266 | Mary Clark | Nurse's Aide | 229 Elmhurst Rd, Dayton, OH 45417-1420 | 2020-03-10 |
| 1366981839 | Mary Clark | Acupuncturist | 8380 Six Forks Rd Ste 203, Raleigh, NC 27615-5091 | 2017-02-16 |
| 1982022562 | Mary Clark | Non-emergency Medical Transport (VAN) | 2957 Brogdon Rd, Alcolu, SC 29001-8637 | 2014-04-01 |
| 1760825392 | Mary Elizabeth Clark | Doula | 8634 Oakside Ave, Commerce Township, MI 48382-3763 | 2013-04-13 |
| 1336497460 | Mary Clark | Chiropractor | 298 Federal Hill Rd, Milford, NH 03055-3553 | 2012-08-21 |
| 1730460098 | Mary Jo Clark | Specialist | 2691 Highway 62 412, Highland, AR 72542-9479 | 2011-08-31 |
| 1649559410 | Mary Jackson Clark | Counselor | 904 Washington Rd Ste A, Westminster, MD 21157-5838 | 2011-08-11 |
| 1952691461 | Mary Denise Clark | Doula | 1070 Milo Cir Apt B, Lafayette, CO 80026-3089 | 2011-04-18 |
| 1982860441 | Mary Clemons Clark | Dentist | 1380 Bardstown Rd, Louisville, KY 40204-1356 | 2008-08-04 |
| Street Address |
2774 230TH ST |
| City | CUSHING |
| State | WI |
| Zip Code | 54006-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144488669 | Jill Negrete | Speech-Language Pathologist | 2395 250th Ave., Cushing, WI 54006-1234 | 2008-05-30 |
| 1609809201 | Daniel Vincent Ohnstad | Physical Therapist | 2528 280th Ave, Cushing, WI 54006-3214 | 2006-07-08 |
| 1154566834 | Gloria Jean Roohr-hyzer | Nutritionist | 2396 250th Ave, Cushing, WI 54006-3607 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928184 | Sarah Elizabeth Zoski | Case Manager/Care Coordinator | 4008 N Kings Hwy, Cushing, OK 74023-6017 | 2020-09-23 |
| 1598379927 | Paige M Frye | Social Worker | 347606 E 800 Rd, Cushing, OK 74023-5382 | 2020-09-02 |
| 1043835150 | Macayla Elizabeth Mcintyre | Peer Specialist | 1028 E 6th St, Cushing, OK 74023-4520 | 2020-06-15 |
| 1629698386 | Brian Halpin | Case Manager/Care Coordinator | 1014 E Oak St, Cushing, OK 74023-3528 | 2020-04-23 |
| 1447883780 | Stillwater Medical Center Authority | Clinic/Center | 600 S Linwood Ave Ste A, Cushing, OK 74023-4630 | 2020-02-14 |
| 1407491798 | Tara Lou Gladden | Peer Specialist | 14221 E 74th St, Cushing, OK 74023-6723 | 2019-11-11 |
| 1649821943 | Sarah Ann Bacon | Technician | 903 Holmes Ave, Cushing, OK 74023-4707 | 2019-09-27 |
| 1285281626 | Karla J. Kellerman | Technician | 2271 County Road 898, Cushing, TX 75760-4317 | 2019-08-21 |
| 1235790361 | Jaime Lyn Griffith | Nurse Practitioner | 600 S Linwood Ave, Cushing, OK 74023-4630 | 2019-06-28 |
| 1922665348 | Marcia L Vanbuskirk | Technician | 353 Cushing Rd, Cushing, ME 04563-3118 | 2019-05-21 |
| Find all providers in CUSHING | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642174 | Jennifer Hafele | Lactation Consultant, Non-RN | 3402 David Dr, Eau Claire, WI 54701-3030 | 2019-07-25 |
| 1447811138 | Amanda C Kosanda | Lactation Consultant, Non-RN | W9519 Blue Jay Way, Cambridge, WI 53523-9750 | 2019-06-24 |
| 1043732688 | Christi Bednarek | Lactation Consultant, Non-RN | 3301 Kensington Ct, Elmwood Park, WI 53405-4533 | 2017-07-14 |
| 1649710732 | Jessica Rae Tangen | Lactation Consultant, Non-RN | 449 Overlook Pass, Hudson, WI 54016-7547 | 2017-03-08 |
| 1376957126 | Molly Lynn Breuer | Lactation Consultant, Non-RN | 9175 Pride Rd, Glen Haven, WI 53810-9718 | 2014-06-19 |
| 1326463225 | Natalie Gasser | Lactation Consultant, Non-RN | 765 N 116th St, Wauwatosa, WI 53226-3612 | 2014-02-28 |
| 1295073658 | Julia Ahmadinia Amos | Lactation Consultant, Non-RN | 5503 W Martin Dr Apt 6, Milwaukee, WI 53208-2530 | 2013-01-19 |
| 1104193846 | Beth Marie Eddy | Lactation Consultant, Non-RN | 5740 S 114th St, Hales Corners, WI 53130-1810 | 2011-11-23 |
| 1790065944 | Michelle Cummings | Lactation Consultant, Non-RN | 3445 W Alvina Ave, Greenfield, WI 53221-4707 | 2011-08-19 |
| 1497079602 | Baldwin Lactation Consultant Services, LLC | Lactation Consultant, Non-RN | 3338 Oakwood Dr, Racine, WI 53406-5464 | 2010-03-16 |
| 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.