MARY KIMBERLY CLARKE (NPI# 1801913801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801913801 |
| Entity Type | Individual |
| Full Name | MARY KIMBERLY CLARKE |
| Credential | NP |
| Practice Address |
500 Carolina Meadows Chapel Hill NC 27517-8471 |
| Mailing Address |
100 Carolina Meadows Chapel Hill NC 27517-8510 |
| Practice Telephone | 9193707102 |
| Practice Fax Number | 9199420377 |
| Mailing Telephone | 9199424014 |
| Mailing Fax Number | 9199420377 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
900035 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0900036 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PIN PTAN | 2592857A | 01 |
| HUMANA | 561380014G | 01 | |
| NC | PARTNERS | 811995 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477789717 | Mary Agnes Clarke | Speech-Language Pathologist | 1311 Tower Grove Ave, Saint Louis, MO 63110-3837 | 2009-06-01 |
| 1598944738 | Mary Beth Clarke | Nurse Anesthetist, Certified Registered | 1540 Anne Dr, West Chester, PA 19380-6319 | 2007-10-24 |
| 1477502128 | Mary Evadne Clarke | Internal Medicine | Dmcc, State Farm, VA 23160 | 2006-05-09 |
| 1922061886 | Mary Christine Clarke | Nurse Practitioner | 25518 Wounded Knee, San Antonio, TX 78261 | 2006-04-10 |
| 1033604772 | Mary Dorsey Clarke | Occupational Therapist | 4840 Waller Rd # 200, Richmond, VA 23230-2912 | 2018-06-26 |
| 1861753444 | Mary Ann Clarke | Social Worker | 57 Dora Ln, Greenup, KY 41144-1187 | 2012-05-31 |
| 1437430089 | Mary M Clarke | Psychologist | 3656 N Halsted St, Chicago, IL 60613-5974 | 2011-09-08 |
| 1760668073 | Mary K Clarke | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9001 | 2008-01-16 |
| 1114077567 | Mary Catherine (kay) Clarke | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2007-01-10 |
| 1194839589 | Mary Clarke | Family Medicine | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2006-08-19 |
| Street Address |
500 CAROLINA MEADOWS |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27517-8471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548304538 | Carolina Meadows Inc | Clinic/Center | 500 Carolina Meadows, Chapel Hill, NC 27517-8471 | 2007-02-16 |
| 1790947505 | Carolina Meadows Inc | Clinic/Center | 500 Carolina Meadows, Chapel Hill, NC 27517-8471 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669953543 | Bart Nathaniel Satterfield Iv | Physical Therapist | 801 W Barbee Chapel Rd Ste 100, Chapel Hill, NC 27517 | 2018-08-28 |
| 1144740788 | Michael Mendsen | Optometrist | 2226 Nelson Hwy # 200, Chapel Hill, NC 27517 | 2017-06-25 |
| 1811426406 | Ivette Landrian | Dentist | 3 Wellesley Pl, Chapel Hill, NC 27517 | 2017-06-07 |
| 1932637568 | Irena Dujmovic Basuroski | Psychiatry & Neurology | 194 Finley Golf Course Road, Suite 200, Chapel Hill, NC 27517 | 2017-05-26 |
| 1629505334 | Chelsea Michelle Bates | Audiologist | 2227 Nelson Highway, Suite 102, Chapel Hill, NC 27517 | 2017-05-12 |
| 1184170805 | Samuel Harrison Farber | Student in an Organized Health Care Education/Training Program | 6509 Glen Forest Dr., Chapel Hill, NC 27517 | 2016-09-01 |
| 1053868521 | Rwa Center | Occupational Therapist | 11470 Us 15-501 Hwy N, Chapel Hill, NC 27517 | 2016-09-01 |
| 1629521372 | Sherwood Chiropractic Pllc | Chiropractor | 50101 Governors Drive, Suite 120, Chapel Hill, NC 27517 | 2016-07-29 |
| 1255789087 | Kelli Elizabeth Tart | Nurse Practitioner | 801 S Barbee Chapel Rd, Suite 200, Chapel Hill, NC 27517 | 2016-06-02 |
| 1629425236 | Kimberly Aaron | Respiratory Therapist, Registered | 9329 Nc Hwy 33e, Chapel Hill, OH 27517 | 2016-05-24 |
| Find all providers in zip 27517 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959573 | Kathryn Allman | Nurse Practitioner | 104 Brighton Ct, Chapel Hill, NC 27516-9005 | 2020-07-13 |
| 1265055271 | Pamela Duncan | Nurse Practitioner | 120 N Medical Dr Unc-ch Son: Carrington Hall, Chapel Hill, NC 27599-7460 | 2020-05-26 |
| 1689150617 | Tammy Long | Nurse Practitioner | 300 Meadowmont Village Cir # 101, Chapel Hill, NC 27517-7518 | 2018-07-12 |
| 1255786570 | Michele Shearer | Nurse Practitioner | 213 Forbush Mountain Dr, Chapel Hill, NC 27514-1909 | 2016-04-25 |
| 1295152601 | Chun Xiang Li | Nurse Practitioner | 128 North Fields Circle, Chapel Hill, NC 27516 | 2014-03-24 |
| 1528400272 | Christopher Evans | Nurse Practitioner | 130 Mason Farm Rd Ste 2100, Ste 2100 Cb# 7215, Chapel Hill, NC 27599-7215 | 2013-07-23 |
| 1922375997 | Gail Ann Ho | Nurse Practitioner | W2063 Old Infirmary Bldg, Invasive Cardiology Med. Directors, Chapel Hill, NC 27599-0001 | 2011-11-18 |
| 1922308683 | Christy Lewis | Nurse Practitioner | 170 Manning Drive Cb 7025, Chapel Hill, NC 27599-2545 | 2010-10-28 |
| 1033152293 | Shawn Kneipp | Nurse Practitioner | Unc Chapel Hill School of Nursing, Cb#7460, Carrington Hall, Chapel Hill, NC 27599-7460 | 2006-06-14 |
| 1275142408 | Mclean Kemper Quinn | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-07-23 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27517 |
Please comment or provide details below to improve the information on MARY KIMBERLY CLARKE.
| 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.