KIMBERLY CLARK (NPI# 1780037994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780037994 |
Entity Type | Individual |
Full Name | KIMBERLY CLARK |
Credential | NP |
Practice Address |
11251 Westwood Ave Denham Springs LA 70726-6947 |
Practice Telephone | 2259379653 |
Mailing Telephone | 2259379653 |
Enumeration Date | 2016-07-22 |
Last Update Date | 2016-07-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP08910 | LA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902362452 | Kimberly Michelle Clark | Technician, Other | 2819 Se Brodiaea Ct, Hillsboro, OR 97123-5201 | 2019-02-20 |
1053651869 | Kimberly Gail Clark | Hearing Instrument Specialist | 401 Apperson Dr, Salem, VA 24153-7026 | 2013-02-15 |
1952660524 | Kimberly Jo Clark | Licensed Practical Nurse | 334 Elmwood Ave, Barberton, OH 44203-1153 | 2012-05-16 |
1336421999 | Kimberly D Clark | Speech-Language Pathologist | 1524 Lexington Road, Clovis, NM 88101-6846 | 2011-09-09 |
1376878595 | Kimberly Clark | Physical Therapist | 101 S Kraemer Blvd Ste 125, Placentia, CA 92870-6100 | 2009-10-06 |
1609050913 | Kimberly Irene Clark | Counselor | 3077 Coolidge Ave, Costa Mesa, CA 92626-2809 | 2007-12-21 |
1053591875 | Kimberly Ann Clark | Counselor | 1516 S Boston Ave, Suite 100, Tulsa, OK 74119-4003 | 2007-11-08 |
1841400868 | Kimberly Clark | Social Worker | 4350 Woodland Ave, Jackson, MS 39206-3955 | 2007-05-22 |
1902900293 | Kimberly A Clark | Physical Therapist | 614 Monkton Rd, Bristol, VT 05443-5392 | 2006-09-08 |
1114996931 | Kimberly Sue Clark | Licensed Practical Nurse | 4563 S Ridge Rd E, Geneva, OH 44041-7310 | 2006-03-15 |
Street Address |
11251 WESTWOOD AVE |
City | DENHAM SPRINGS |
State | LA |
Zip Code | 70726-6947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
1306456231 | Jinci Strahan | Registered Nurse | 24495 La-16, Denham Springs, LA 70726 | 2020-08-05 |
1568085058 | Bailey Brumley | Case Manager/Care Coordinator | 106 Business Park Ave, Denham Springs, LA 70726 | 2020-05-19 |
1518527977 | Papa's Farmacia Via Luzianna LLC | Pharmacy | 25831 Walker South Rd Ste 1, Denham Springs, LA 70726 | 2019-06-18 |
1265995807 | Michael Jacob Efferson | Counselor | 303 Veteran Blvd, Denham Springs, LA 70726 | 2019-04-10 |
1477031524 | Melissa Sepeda | Social Worker | 1110 South Range Ave, Denham Springs, LA 70726 | 2018-07-31 |
1215420633 | Tiffany Summers | Counselor | 30826 Linder Road, Denham Springs, LA 70726 | 2018-06-11 |
1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
1780130369 | Bonnie Pettyjohn | Counselor | 25560 Oak Hill Rd, Denham Springs, LA 70726 | 2016-09-01 |
1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
Find all providers in zip 70726 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073072310 | Chillena Edwards | Nurse Practitioner | 8787 Shephard Dr, Denham Springs, LA 70726-6338 | 2019-03-16 |
1104344175 | Evangeline Marie Fontenot | Nurse Practitioner | 8369 Florida Blvd Ste 8, Denham Springs, LA 70726-7862 | 2017-08-30 |
1306246293 | Mandys Primary Healthcare LLC | Nurse Practitioner | 35055 La Highway 16, Suite 2h, Denham Springs, LA 70706-1535 | 2014-08-27 |
1053749226 | Christine Galloway Palmer | Nurse Practitioner | 13617 Brown Road, Denham Springs, LA 70726 | 2013-10-24 |
1417291964 | Linda Yvette Leblanc | Nurse Practitioner | 1234 Del Este Ave Ste 101, Denham Springs, LA 70726-4833 | 2012-11-22 |
1083260319 | Amanda Lapeze Bethel | Nurse Practitioner | 8375 Florida Blvd, Denham Springs, LA 70726-7806 | 2019-08-13 |
1215492475 | Macy Catalano | Nurse Practitioner | 8369 Florida Blvd Ste 8, Denham Springs, LA 70726-7862 | 2019-02-01 |
1801362561 | Allison Martin | Nurse Practitioner | 25905 Juban Rd, Denham Springs, LA 70726-6066 | 2018-10-22 |
1932687449 | Maura Catherine Slaven | Nurse Practitioner | 8369 Florida Blvd Ste 8, Denham Springs, LA 70726-7862 | 2018-08-06 |
1679940530 | Angelle Domonique Bush | Nurse Practitioner | 139 Veterans Blvd, Denham Springs, LA 70726-5130 | 2015-08-27 |
Find all providers in DENHAM SPRINGS |
City | DENHAM SPRINGS |
Zip Code | 70726 |
Please comment or provide details below to improve the information on KIMBERLY 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.