MRS. CATHERINE MARIE CLARK


Address: Bldg. 310, Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333
Phone: 3342557755

MRS. CATHERINE MARIE CLARK (NPI# 1801126826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801126826
Entity Type Individual
Full Name MRS. CATHERINE MARIE CLARK
Credential LPN
Practice Address Bldg. 310, Andrews Ave.
Lyster Army Health Clinic
Fort Rucker
AL 36362-5333
Practice Telephone 3342557755
Mailing Telephone 3342557755
Enumeration Date 2010-01-14
Last Update Date 2010-01-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 2-033350 AL Nursing Service Providers

Other Providers CATHERINE CLARK

NPI Name Taxonomy Address Enumeration
1619584331 Catherine Mary Clark Behavior Technician 306 Anchors Pl, Niceville, FL 32578-2523 2020-09-27
1548826860 Catherine Tagulao Clark Assisted Living Facility 9320 Cobble Mountain Rd, Bakersfield, CA 93313-5373 2019-05-13
1396226114 Catherine Lynn Clark Nurse Practitioner 11866 Hastings Bridge Road, Lovejoy, GA 30250 2018-08-29
1477926954 Catherine Clark Occupational Therapist 1 Olympic Place, Towson University Iwb, Suite 200, Towson, MD 21204 2015-11-05
1457755878 Catherine Clark Occupational Therapist 1936 N Mohawk St, Apt 2, Chicago, IL 60614-5251 2014-10-14
1629220421 Catherine Celeste Clark Audiologist 52 Lomb Memorial Dr, Rochester, NY 14623-5604 2008-10-13
1902029432 Catherine Clark Social Worker 18 Lewis Ave, Great Barrington, MA 01230-1722 2007-04-11
1851414726 Catherine M. Clark Counselor 3217 W Biddison St, Fort Worth, TX 76109-2906 2007-04-07
1861573156 Catherine E Clark Nurse Practitioner 7887 E Belleview, Suite 1100, Englewood, CO 80111-6015 2006-10-17
1629609680 Catherine Anne Clark Clinical Nurse Specialist 860 Potomac Cir, Aurora, CO 80011-6714 2020-01-29

Office Location

Street Address BLDG. 310, ANDREWS AVE.
LYSTER ARMY HEALTH CLINIC
City FORT RUCKER
State AL
Zip Code 36362-5333

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235745571 Rachel Kestler Specialist 4102 Gadiator Street, Fort Rucker, AL 36362 2020-09-22
1417589268 Jacob Michael Lezon Emergency Medical Technician, Basic 30501 Nevins St., Ft. Rucker, AL 36362 2020-02-10
1225535388 Rhonda Lewis Wesolek Dental Hygienist Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 2018-04-06
1770013369 National Vision, Inc. Technician/Technologist Bldg 9214, Fort Rucker, AL 36362 2017-06-15
1750730958 Teresa Morgan Knighten Dental Hygienist 4405 Innkeepers St, Fort Rucker, AL 36362 2016-06-08
1568826246 David Virgil II Technician, Other 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 2016-04-08
1356771257 Robert E Smith Emergency Medical Technician, Intermediate Blding 301 Andrew Ave, Ft Rucker, AL 36362 2013-11-14
1548503469 Lindsey Taylor Mendenhall Emergency Medical Technician, Basic Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 2013-03-28
1689913808 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Fort Rucker Bldg. 9214, Daleville, AL 36362 2013-02-07
1275880205 Sandra Lynn Griffin Banner Optometrist 33 Endl Ave, Fort Rucker, AL 36362 2012-08-09
Find all providers in zip 36362

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801287412 Sharon Dickman Licensed Practical Nurse Bldg 300 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2015-02-18
1720401540 Barbara Hayes Licensed Practical Nurse Bldg. 301, Andrews, Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2014-01-30
1275857351 Kristina Siegrist Licensed Practical Nurse Bldg. 301 Andrews Avenue, Lyster Army Health Clnic, Fort Rucker, AL 36362-5333 2010-03-18
1730350646 Mildred Ethlyn Noble Licensed Practical Nurse Building 301, Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362 2008-03-19
1225638059 Mary Sue Mercer Licensed Practical Nurse 301 Andrews Ave, Fort Rucker, AL 36362 2020-10-30
1619577673 Reagan Alanee Jacobs Licensed Practical Nurse 301 Andrews Ave, Fort Rucker, AL 36362 2020-10-29
1801429493 Debra D Davis Licensed Practical Nurse 301 Andrews Ave, Fort Rucker, AL 36362 2020-02-21
1669004131 Shelby C Davis Licensed Practical Nurse 301 Andrews Ave, Fort Rucker, AL 36362-5333 2020-02-12
1003395104 Patrisha L Twyman Licensed Practical Nurse Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 2018-08-09
1306350707 Toni Lynn Coon Licensed Practical Nurse Lyster Army Health Clinic, Buiding 301 Andrews Ave, Fort Rucker, AL 36362-5333 2017-11-21
Find all providers in FORT RUCKER

Competitor

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City FORT RUCKER
Zip Code 36362

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Dataset Information

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.

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