MS. ELIZABETH ANN CLARK (NPI# 1750346847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750346847 |
Entity Type | Individual |
Full Name | MS. ELIZABETH ANN CLARK |
Credential | RNC MSN NNP |
Practice Address |
1325 Pennsylvania Ave #740 Fort Worth TX 76104-2158 |
Mailing Address |
1325 Pennsylvania Ave # 740 Ft Worth TX 76104-2158 |
Practice Telephone | 8172502892 |
Mailing Telephone | 8172502892 |
Enumeration Date | 2006-04-20 |
Last Update Date | 2013-07-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
CNP-02165 | NM | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
505735 | TX | Physician Assistants & Advanced Practice Nursing 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 |
1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
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 |
Street Address |
1325 PENNSYLVANIA AVE #740 |
City | FORT WORTH |
State | TX |
Zip Code | 76104-2158 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194718452 | Mohammad Reza Siadati | Surgery | 1325 Pennsylvania Ave, 200, Fort Worth, TX 76104-2158 | 2005-08-23 |
1306315254 | Selina Ann Leewright | Nurse Practitioner | 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 | 2018-11-21 |
1972046274 | Tonyka A James Dpm Pllc | Podiatrist | 1325 Pennsylvania Ave, Suite 250, Fort Worth, TX 76104-2158 | 2016-11-18 |
1578927661 | Stella-maris Ogwu | Pediatrics | 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 | 2016-04-05 |
1316312523 | Jennifer Barnett | Pharmacist | 1325 Pennsylvania Ave, Ste #60, Fort Worth, TX 76104-2158 | 2015-12-14 |
1164843306 | Noushin A Firouzbakht Md Pa | Obstetrics & Gynecology | 1325 Pennsylvania Ave, Suite 350, Fort Worth, TX 76104-2158 | 2013-12-13 |
1346585718 | Trinity Iom, Pa | Specialist/Technologist, Other | 1325 Pennsylvania Ave, Ste 890, Fort Worth, TX 76104-2158 | 2012-12-11 |
1467751404 | James A Scott Md Pa | Physical Medicine & Rehabilitation | 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 | 2011-03-16 |
1073819595 | Emnet Sisay | Internal Medicine | 1325 Pennsylvania Ave, Ste. 325, Fort Worth, TX 76104-2158 | 2011-01-31 |
1770819336 | Cindi E Tolliver | Pharmacist | 1325 Pennsylvania Ave, Suite #60, Fort Worth, TX 76104-2158 | 2009-11-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
Find all providers in zip 76104 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538793161 | Torey Shay Cortez | Nurse Practitioner | 762 Annette Dr, Fort Worth, TX 76108-4562 | 2020-02-21 |
1538124086 | Michael Lalli | Nurse Practitioner | 1303 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-04-19 |
1609482884 | Tiffani Christensen | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2796 | 2020-09-22 |
1871123042 | Elizabeth Fry | Nurse Practitioner | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-01-16 |
1124508627 | Joshua Samuel Cox | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2018-08-15 |
1558878587 | Allyson Renee Housour | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2017-12-28 |
1477560894 | Patricia Jean Carbone | Nurse Practitioner | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2006-08-01 |
1174548390 | Denise Carole Case | Nurse Practitioner | 1325 Pennsylvania Ave, Suite 740, Fort Worth, TX 76104-2158 | 2006-07-12 |
1023062775 | Emily Sue Wood | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-05-19 |
1669422648 | Dania Elizabeth Cornwell | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-05-11 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76104 |
Please comment or provide details below to improve the information on MS. ELIZABETH ANN 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.