JUDITH CR CLARK (NPI# 1780682138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780682138 |
| Entity Type | Individual |
| Full Name | JUDITH CR CLARK |
| Credential | NP |
| Practice Address |
375 Briarwood Cir Ann Arbor MI 48108-1605 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349987207 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2014-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704171391 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 5008707110 | 01 |
| MI | MEDICARE-RAILROAD | P00365326 | 01 |
| MI | 4643072 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861717597 | Judith Ann Clark | Counselor | 244 Jefferson St, Lexington, KY 40508-1217 | 2010-04-06 |
| 1356440275 | Judith Z Clark | Psychologist | 126 Old Mammoth Rd, Suite 214, Mammoth Lakes, CA 93546 | 2006-09-21 |
| 1487941308 | Judith Clark | Social Worker | 91 Elm St, Westfield, MA 01085-2906 | 2011-06-29 |
| 1871884155 | Judith Yvette Clark | Nurse Practitioner | 10051 5th St N Ste 200, Saint Petersburg, FL 33702-2211 | 2011-04-21 |
| 1508191818 | Judith Alice Clark | Pharmacist | 10405 N La Canada Dr, Oro Valley, AZ 85737-6945 | 2009-10-05 |
| 1316117898 | Judith Lynn Clark | Physical Therapy Assistant | 6455 Pearl Rd, Parma Heights, OH 44130-2984 | 2008-03-11 |
| 1346421658 | Judith J Clark | Counselor | 1803 Oregon Pike, Lancaster, PA 17601-6401 | 2007-11-15 |
| 1740379098 | Judith Clark | Psychologist | 49 Pleasant St, Weymouth, MA 02190-2435 | 2006-10-12 |
| 1003928466 | Judith L Clark | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-8608 | 2006-08-31 |
| Street Address |
375 BRIARWOOD CIR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028225 | Brandon Moretti | Student in an Organized Health Care Education/Training Program | 375 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2020-06-23 |
| 1912523259 | Matthew Mignery | Student in an Organized Health Care Education/Training Program | 375 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2020-06-23 |
| 1396360756 | Nonie Arora | Student in an Organized Health Care Education/Training Program | 375 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2020-06-11 |
| 1659932564 | Patrick O'hayer | Student in an Organized Health Care Education/Training Program | 375 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2019-06-23 |
| 1629639539 | Stephanie Spehar | Student in an Organized Health Care Education/Training Program | 375 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2019-06-23 |
| 1053971002 | Mary Finta | Student in an Organized Health Care Education/Training Program | 375 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2019-06-20 |
| 1134789266 | Nicole Cremer | Student in an Organized Health Care Education/Training Program | 375 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2019-06-20 |
| 1861921108 | Virginia Morris Sheffield | Student in an Organized Health Care Education/Training Program | 375 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2017-06-09 |
| 1760853394 | Margaret Elizabeth Mieras | Social Worker | 375 Briarwood Cir, Building 3, Ann Arbor, MI 48108-1605 | 2015-10-08 |
| 1124118666 | Linda B Terrell | Internal Medicine | 375 Briarwood Cir, Building 3, Ann Arbor, MI 48108-1605 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624685 | Francisco Bielinki Jr. | Nurse Practitioner | 2355 Devonshire Rd, Ann Arbor, MI 48104-2703 | 2020-03-12 |
| 1609335363 | Epmg Northern Michigan Pllc | Nurse Practitioner | 5301 E Huron River Dr Er, Ann Arbor, MI 48106 | 2019-03-13 |
| 1649771668 | Julie Elizabeth Cain | Nurse Practitioner | 1418 Morton Ave, Ann Arbor, MI 48104-4437 | 2018-02-25 |
| 1689190167 | Sonam Krichbaum | Nurse Practitioner | 302 E Liberty St Ste 201, Ann Arbor, MI 48104-2206 | 2017-08-16 |
| 1013438530 | Keely Marie Blosh | Nurse Practitioner | 1500 E Medical Center Dr # 4321, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 | 2017-07-06 |
| 1821538026 | Natalya Stokely-hamdan | Nurse Practitioner | 3410 Ferry St, Ann Arbor, MI 48103-1905 | 2017-03-07 |
| 1295113199 | Ji-young Byun | Nurse Practitioner | 2251 Gemstone Ct, Ann Arbor, MI 48103-8970 | 2015-05-11 |
| 1528303740 | Teresa Kathleen Reimer | Nurse Practitioner | 2301 S Huron Pkwy Ste 2b, Ann Arbor, MI 48104-5133 | 2012-11-28 |
| 1053662981 | Andria Scappaticci Hazergian | Nurse Practitioner | 1500 E Medical Center Dr Bldg 1000312, Ann Arbor, MI 48109-5000 | 2012-10-02 |
| 1114171238 | Donna Lee Auer | Nurse Practitioner | 325 E Eisenhower Plwy, Suite 100, Ann Arbor, MI 48108-5744 | 2008-11-17 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on JUDITH CR 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.