MISS CHELSEA NICOLE CLARK (NPI# 1770061004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770061004 |
| Entity Type | Individual |
| Full Name | MISS CHELSEA NICOLE CLARK |
| Practice Address |
1001 W Cypress Creek Rd Ste 120 Fort Lauderdale FL 33309-1947 |
| Mailing Address |
4575 Se Dixie Hwy Stuart FL 34997-6826 |
| Practice Telephone | 8558326727 |
| Mailing Telephone | 8558326727 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101388 | Chelsea Marie Clark | Physical Therapist | 10 Tupelo Ct, Greenville, SC 29609-6027 | 2020-07-09 |
| 1750905923 | Chelsea Clark | Speech-Language Pathologist | 13710 Rocky Bluff Dr, Houston, TX 77085-1334 | 2020-06-03 |
| 1750795704 | Chelsea Clark | Homemaker | 1312 E Ellsworth Ave, Salina, KS 67401-8311 | 2014-06-18 |
| 1578891040 | Chelsea C Clark | Registered Nurse | 15 East Rd Unit 102, Fairfax, VT 05454-4450 | 2009-11-22 |
| 1538760418 | Chelsea La' Brea Clark | Specialist/Technologist, Other | 7700 E Parham Rd, Richmond, VA 23294-4301 | 2020-11-05 |
| 1598399560 | Chelsea Lauren Clark | Physician Assistant | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-02-27 |
| 1255962957 | Chelsea Clark | Counselor | 2323 Timber Shadows Dr Ste B, Kingwood, TX 77339-2028 | 2020-01-31 |
| 1124581137 | Chelsea Victoria Clark | Student in an Organized Health Care Education/Training Program | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2019-04-08 |
| 1750742391 | Chelsea Clark | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-03-09 |
| 1427424878 | Chelsea Clark | Physical Therapist | 2999 Mission Blvd, Suite 101, San Diego, CA 92109-8028 | 2015-08-19 |
| Street Address |
1001 W CYPRESS CREEK RD STE 120 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023285293 | Emily Robes | Behavioral Analyst | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2008-05-15 |
| 1952934960 | Bonnie W Vargas | Behavior Technician | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2020-02-18 |
| 1720610439 | Sarah Allison Miller | Behavior Technician | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2020-02-11 |
| 1700437530 | Giuliana Fernandez | Behavior Technician | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2019-09-23 |
| 1265084826 | Angela Beatriz Sposito | Behavior Technician | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2019-07-14 |
| 1275002602 | Meredith Jocelyn Serota | Developmental Therapist | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2018-11-14 |
| 1174099246 | Herfa Marjorie Robb | Behavior Technician | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2018-10-16 |
| 1093280844 | Ashley Ambroise | Behavior Technician | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2018-10-09 |
| 1225511595 | Patricia Carolina Bravo | Behavior Technician | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2018-09-12 |
| 1528549847 | Ryan James Brushingham | Behavior Technician | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184131468 | Timothy Tavarus Simpson | Technician, Other | 2109 Davie Blvd Apt 247, Fort Lauderdale, FL 33312-3124 | 2018-01-08 |
| 1194230417 | Madella None Bastian | Technician, Other | 3800 Sw 2nd Ct Apt 2, Fort Lauderdale, FL 33312-1891 | 2017-12-08 |
| 1720593544 | Starlyn Nichole Zickafoose | Technician, Other | 421 Ne 58th St, Fort Lauderdale, FL 33334-1832 | 2017-12-04 |
| 1174037378 | Franklin Marcelin Vixamar Sr. | Technician, Other | 520 W Evanston Cir, Fort Lauderdale, FL 33312-1817 | 2017-11-27 |
| 1922510882 | Delphine Harrison | Technician, Other | 2930 Nw 20th St, Fort Lauderdale, FL 33311-3206 | 2017-11-01 |
| 1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
| 1518491026 | Rod-acheca Nelson | Technician, Other | 1473 Nw 19th Ct Apt A, Fort Lauderdale, FL 33311-3510 | 2017-04-12 |
| 1124567045 | Jonathan Skurowitz | Technician, Other | 4964 Sw 34th Ter, Fort Lauderdale, FL 33312-7924 | 2017-02-13 |
| 1124561006 | Cristina C Inoa | Technician, Other | 4748 Sw 24th Ave, Fort Lauderdale, FL 33312-5905 | 2016-11-28 |
| 1174072805 | Ciara Chloe Mulvena | Technician, Other | 3130 Nw 68th St, Fort Lauderdale, FL 33309-1206 | 2016-09-22 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on MISS CHELSEA NICOLE 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.