MIRIAM CLARK (NPI# 1770080392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770080392 |
| Entity Type | Individual |
| Full Name | MIRIAM CLARK |
| Practice Address |
1844 Commonwealth Ave Auburndale MA 02466-2709 |
| Mailing Address |
1844 Commonwealth Ave Auburndale MA 02466-2716 |
| Practice Telephone | 6172432451 |
| Mailing Telephone | 6172432451 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2284844 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1844 COMMONWEALTH AVE |
| City | AUBURNDALE |
| State | MA |
| Zip Code | 02466-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952921 | Mariana Mccarthy | Specialist/Technologist | 1844 Commonwealth Ave, Auburndale, MA 02466-2709 | 2020-11-02 |
| 1336789593 | Timothy Joseph Gilgallon | Specialist/Technologist | 1844 Commonwealth Ave, Auburndale, MA 02466-2709 | 2020-01-15 |
| 1154894897 | Mackenzie Anne Foley | Specialist/Technologist | 1844 Commonwealth Ave, Auburndale, MA 02466-2709 | 2019-01-04 |
| 1881167526 | Julia Franzik | Specialist/Technologist | 1844 Commonwealth Ave, Auburndale, MA 02466-2716 | 2019-01-04 |
| 1407335466 | Jennifer E Leszkiewicz | Social Worker | 1844 Commonwealth Ave, Auburndale, MA 02466-2716 | 2018-08-10 |
| 1649769258 | Sarah Beth Golden | Psychologist | 1844 Commonwealth Ave, Auburndale, MA 02466-2716 | 2018-05-09 |
| 1912419540 | Brenna Hewitt | Specialist/Technologist | 1844 Commonwealth Ave, Auburndale, MA 02466-2709 | 2017-11-05 |
| 1124530506 | Amanda Depina | Specialist/Technologist | 1844 Commonwealth Ave, Auburndale, MA 02466-2709 | 2017-10-25 |
| 1811414345 | Koinonia Diva Howard | Specialist/Technologist | 1844 Commonwealth Ave, Auburndale, MA 02466 | 2017-08-25 |
| 1871019703 | Sarah Jean Jordan | Specialist/Technologist | 1844 Commonwealth Ave, Auburndale, MA 02466-2709 | 2017-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573508 | Newton Dentistry PC | Dentist | 73 Lexington Street, Suite 204, Newton, MA 02466 | 2019-08-13 |
| 1649749870 | Betty I Morningstar | Social Worker | 91 Aspen Ave., Newton, MA 02466 | 2018-11-16 |
| 1437670957 | Yoon Ji Jang | Dentist | 73 Lexington St, Ste 204, Newton, MA 02466 | 2017-07-06 |
| 1720413727 | Elizabeth Forkel | Nurse Practitioner | 275 Grove Street, Suite 3-300, Newton, MA 02466 | 2013-09-09 |
| 1477726966 | Melissa Pinnetti | Social Worker | 287 Auburn St Ste 106, Auburndale, MA 02466 | 2008-04-07 |
| 1356408769 | Anna J Mitus | Internal Medicine | Mckesson Suite 1-110, 275 Grove Street, Newton, MA 02466 | 2007-01-03 |
| 1891858072 | Frances Bourne Johnson | Social Worker | 440 Lexongton St Suite 5, Auburndale, MA 02466 | 2006-12-18 |
| 1013089903 | David H. Sachs | Allergy & Immunology | Bldg. 149-9019, 13th Street, Boston, MA 02466 | 2006-11-15 |
| 1386750248 | Lynanne Ballelli Morganstern | Emergency Medicine | Mckesson Corporation, 275 Grove Street, Suite 1 - 110, Newton, MA 02466 | 2006-08-22 |
| 1639690316 | Patrick Geraghty | Occupational Therapist | 120 Seminary Ave, Auburndale, MA 02466 | 2017-07-03 |
| Find all providers in zip 02466 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709740 | Kataceya Angela Lamanna | Nurse Practitioner | 1208 Burlington Ct, Auburndale, FL 33823-2361 | 2018-11-14 |
| 1861900474 | Rebekah Jill Stross | Nurse Practitioner | 2791 Berkley Rd, Auburndale, FL 33823-8613 | 2018-01-17 |
| 1114389939 | May E. Hunter | Nurse Practitioner | 215 Dorothy St, Pob 1790, Auburndale, FL 33823 | 2016-03-22 |
| 1104398957 | Dianna L Magee | Nurse Practitioner | 394 Havendale Blvd, Auburndale, FL 33823-4527 | 2018-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | AUBURNDALE |
| Zip Code | 02466 |
Please comment or provide details below to improve the information on MIRIAM 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.