DR. GRACE CLARK (NPI# 1750777009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750777009 |
| Entity Type | Individual |
| Full Name | DR. GRACE CLARK |
| Credential | DVM |
| Practice Address |
13160 Magisterial Dr Louisville KY 40223-4102 |
| Practice Telephone | 5022443036 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | NS-4846 | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407360910 | Grace Xinxing Clark | Dentist | 4716 Illinois Rd Ste 101, Fort Wayne, IN 46804-5123 | 2017-11-20 |
| 1982027728 | Grace D. Clark | Counselor | 11205 Lake Victoria Ln, Bowie, MD 20720-4262 | 2014-01-30 |
| 1932531274 | Grace Teresa Clark | Speech-Language Pathologist | 3 Rambling Brook Rd, Upper Saddle River, NJ 07458-1110 | 2013-08-08 |
| 1972162840 | Grace Margaret Clark | Developmental Therapist | 345a Greenwood St, Worcester, MA 01607-1753 | 2019-06-13 |
| 1780030734 | Grace Clark | Nurse Practitioner | 3825 Medical Park Dr, Suite 100, Austell, GA 30106-6831 | 2016-05-09 |
| Street Address |
13160 MAGISTERIAL DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124494133 | Sara Darrington Allstadt | Veterinarian | 13160 Magisterial Dr, Louisville, KY 40223-4102 | 2015-08-13 |
| 1467839225 | Scott Rizzo | Veterinarian | 13160 Magisterial Dr, Louisville, KY 40223-4102 | 2015-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548695489 | Jason S. Clark | Veterinarian | 11800 Capital Way, Louisville, KY 40299-6332 | 2013-09-11 |
| 1235563552 | Donna Habig-sachleben | Veterinarian | 1311 Durrett Ln, Louisville, KY 40213-2009 | 2013-08-22 |
| 1750714481 | Catherine A Metry | Veterinarian | 3014 Eleanor Ave, Louisville, KY 40205-2906 | 2013-08-16 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1881031284 | Dan E Moore | Veterinarian | 14601 Pauleys Gap Rd, Louisville, KY 40272-1543 | 2013-05-28 |
| 1902241771 | Patricia Kennedy Arrington | Veterinarian | 4504 Outer Loop, Louisville, KY 40219-3857 | 2013-05-06 |
| 1629413596 | Steven Eugene Dill | Veterinarian | 4609 Haeringdon Dr, Louisville, KY 40299-1110 | 2013-05-06 |
| 1457795973 | Linda Gries | Veterinarian | 4158 Westport Rd, Louisville, KY 40207-2723 | 2013-04-26 |
| 1649440462 | Michele Ann Zehnder | Veterinarian | 2226 Richland Ave, Louisville, KY 40218-3228 | 2008-03-07 |
| 1508237009 | Kimberley Edens | Veterinarian | 1311 Durrett Ln, Louisville, KY 40213-2009 | 2015-10-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
Please comment or provide details below to improve the information on DR. GRACE 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.