KATHRYN JANE CLARKE


Address: 10460b Chinook Ct, Joint Base Lewis Mcchord, WA 98433-1354
Phone: 2065126556

KATHRYN JANE CLARKE (NPI# 1831642438) 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) 1831642438
Entity Type Individual
Full Name KATHRYN JANE CLARKE
Practice Address 10460b Chinook Ct
Joint Base Lewis Mcchord
WA 98433-1354
Practice Telephone 2065126556
Mailing Telephone 2065126556
Enumeration Date 2016-07-31
Last Update Date 2016-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN 60141168 WA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
N260143062 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA DEA NUMBER MC3926271 01

Other Providers KATHRYN CLARKE

NPI Name Taxonomy Address Enumeration
1598207938 Kathryn Clarke Physical Therapy Assistant 2812 Windemere Dr, Nashville, TN 37214-1735 2016-11-16
1265665467 Kathryn L Clarke Nurse Practitioner 1845 W Orange Grove Rd Bldg 2, Tucson, AZ 85704-1144 2009-09-03
1376623827 Kathryn L. Clarke Counselor 950 Campbell Ave, West Haven, CT 06516-2770 2006-10-17

Office Location

Street Address 10460B CHINOOK CT
City JOINT BASE LEWIS MCCHORD
State WA
Zip Code 98433-1354

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134739881 Bryonna Floyd Dental Assistant 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 2020-08-07
1790393213 Matthew T Ellison Dentist Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 2020-07-21
1952933251 Julie Kristen Dutler Dental Hygienist 11572 C St, Jblm, WA 98433 2020-02-05
1881224806 James Eric Carvelli Dental Assistant 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 2020-01-17
1245891019 Tanya Latrell Lesane Counselor 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 2019-06-24
1740844224 Allison Tracy Bertoni Student in an Organized Health Care Education/Training Program 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 2019-04-30
1124682448 Lori Ann Sage Registered Nurse Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 2019-04-23
1639645997 Emily Elisabeth Armstrong Emergency Medical Technician, Paramedic 3370 Evergreen Ave, Jblm, WA 98433 2018-10-15
1982182101 Won Kyung Yang Dentist 11582 C St., Jblm, WA 98433 2018-07-31
1205325966 Gloria Judith Penate I Dental Hygienist 2103 North Division Street, Tacoma, WA 98433 2018-05-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1831799048 Sarah Louise Weerheim Nurse Practitioner 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 2020-10-27
1619576774 Bethany Heath Arnp-pmhnp Pllc Nurse Practitioner 1224 West Riverside, Apt 408, Spokane, WA 99201 2020-10-20
1437761988 Hollye Hahn Nurse Practitioner 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 2020-08-17
1386254290 Candie M. Wellwood Nurse Practitioner 9908 S Sherman Rd, Spokane, WA 99224-9811 2020-08-05
1104434679 Progressive Psychiatric Consultant Nurse Practitioner 170 S Lincoln St # 150, Spokane, WA 99201-4443 2020-07-21
1235747213 Peaceful Coexistence, LLC Nurse Practitioner 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 2020-07-16
1134747066 New Dawn Psychotherapy Pllc Nurse Practitioner 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 2020-07-07
1376160861 Clarity Behavioral Health Nurse Practitioner 7704 193rd Pl Sw, Edmonds, WA 98026-6234 2020-06-30
1174140677 Rachael Davison Nurse Practitioner 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 2020-06-30
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Competitor

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City JOINT BASE LEWIS MCCHORD
Zip Code 98433

Improve Information

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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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