ALICIA CLARK (NPI# 1821469537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821469537 |
| Entity Type | Individual |
| Full Name | ALICIA CLARK |
| Credential | FNP |
| Practice Address |
4330 Wornall Rd Suite 2000 Kansas City MO 64111-3201 |
| Mailing Address |
901 E 104th St Mailstop 400s Kansas City MO 64131 |
| Practice Telephone | 8169311883 |
| Mailing Telephone | 8165027117 |
| Mailing Fax Number | 8169329670 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-76985-042 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015030545 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647373 | Alicia Clark | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2019-06-07 |
| 1407349012 | Alicia Ranae Clark | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2018-06-08 |
| 1396125522 | Alicia Kohn Clark | Physical Therapist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2015-06-03 |
| 1669899985 | Alicia Suzanne Clark | Physician Assistant | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2014-03-25 |
| 1952578460 | Alicia T Clark | Internal Medicine | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-05-14 |
| 1134216690 | Alicia Clark | Psychologist | 339 W Loucks St, Sheridan, WY 82801-4121 | 2006-10-06 |
| 1801898440 | Alicia H Clark | Nurse Practitioner | 518 West Gum Street, Marion, KY 42064-1516 | 2005-08-12 |
| Street Address |
4330 WORNALL RD SUITE 2000 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336549 | Leigh A Nelson | Pharmacist | 4330 Wornall Rd, St. Luke's Multi-specialty Clinic, Medical Plaza Bldg., Kansas City, MO 64111-3217 | 2005-09-14 |
| 1447745708 | Laura Ashley Amos | Nurse Practitioner | 4330 Wornall Rd, Kansas City, MO 64111-3201 | 2018-06-28 |
| 1861987042 | Lyndsay Kidd | Registered Nurse | 4330 Wornall Rd, Ste 2000, Kansas City, MO 64111 | 2018-06-28 |
| 1851831176 | Saint Luke's Cardiovascular Consultants | Clinic/Center | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2017-03-06 |
| 1821545880 | Barbara Sue Lee | Registered Nurse | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2016-09-07 |
| 1316490667 | Julia E. Bridges | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2016-08-03 |
| 1871945303 | Leandrea Williams | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2016-07-08 |
| 1043660392 | Nicole E Hoover | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2016-06-17 |
| 1689024861 | Katie Nicole Jaschke | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2016-06-17 |
| 1043660764 | Lauren Rasmussen | Registered Nurse | 4330 Wornall Rd, Medical Plaza IIi Suite 2000, Kansas City, MO 64111-3201 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252193 | Julie O'gara | Nurse Practitioner | 9709 Nw 72nd Ter, Kansas City, MO 64152-1813 | 2020-10-14 |
| 1144836313 | Corinne Lee Nilsen | Nurse Practitioner | 3939 Holmes St, Kansas City, MO 64110-1123 | 2020-09-22 |
| 1821604430 | Nathan D Burditt | Nurse Practitioner | 5917 Mcgee St, Kansas City, MO 64113-2205 | 2020-09-18 |
| 1760094577 | Diana Michelle Hiestand | Nurse Practitioner | 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 | 2020-08-21 |
| 1093324816 | Claire Sorensen | Nurse Practitioner | 427 E 63rd Ter, Kansas City, MO 64110-3333 | 2020-07-28 |
| 1003434705 | Kristin A Meyer | Nurse Practitioner | 700 W 31st St Ste 706, Kansas City, MO 64108-3628 | 2020-07-08 |
| 1023634599 | Sibree L Vickers | Nurse Practitioner | 3627 Ne 85th St, Kansas City, MO 64156-1309 | 2020-06-22 |
| 1457975625 | Jazmine Ayana Spencer | Nurse Practitioner | 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 | 2020-06-03 |
| 1841813706 | Kristine Elizabeth Silcott | Nurse Practitioner | 5239 N Flora Ave, Kansas City, MO 64118-5720 | 2020-05-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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| 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.