KATELYN ROSE CLARK (NPI# 1831726520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831726520 |
| Entity Type | Individual |
| Full Name | KATELYN ROSE CLARK |
| Practice Address |
605 E Main St Unit 19 Bay Shore NY 11706-8505 |
| Practice Telephone | 6316650795 |
| Mailing Telephone | 6316650795 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 14000053702 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093049 | Katelyn E Clark | Counselor | 7431 Fortman Ave, Fountain, CO 80817-1403 | 2020-11-04 |
| 1871148569 | Katelyn Truss Clark | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075 | 2019-08-08 |
| 1972165496 | Katelyn Marie Clark | Physician Assistant | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2019-07-04 |
| 1124517222 | Katelyn Marie Clark | Occupational Therapist | 3254 E Midland Rd, Bay City, MI 48706-2835 | 2018-05-03 |
| 1366732729 | Katelyn Ann Clark | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2011-04-19 |
| Street Address |
605 E MAIN ST UNIT 19 |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534009 | Salvatore Anthony Scampone Iv | Hearing Instrument Specialist | 21245 26th Ave Ste 6, Bayside, NY 11360-1901 | 2020-03-26 |
| 1134755069 | John Denaro Iv | Hearing Instrument Specialist | 1900 Empire Boulevard, Miracle Ear, Webster, NY 14580 | 2020-03-23 |
| 1346876216 | Jesse Bryant Fritche | Hearing Instrument Specialist | 426 Market St Unit 12, Nanuet, NY 10954-2744 | 2020-03-23 |
| 1356977433 | Donna Marie Maier | Hearing Instrument Specialist | 440a Main St, Oneonta, NY 13820-2027 | 2020-03-20 |
| 1427684570 | Elena Rose Brandhofer | Hearing Instrument Specialist | Big V Town Center 374 Route 32, Suite 1500, Vails Gate, NY 12584 | 2020-03-20 |
| 1578199774 | Morgan Rose Bills | Hearing Instrument Specialist | 833 West Union Street, Newark, NY 14513-1451 | 2020-03-19 |
| 1942836168 | Debra Ann Gargano | Hearing Instrument Specialist | 690 Stewart Ave Unit B, Garden City, NY 11530-4791 | 2020-03-19 |
| 1639703226 | William Hartman | Hearing Instrument Specialist | 20053 Summit View Blvd Ste 3, Watertown, NY 13601-2268 | 2020-02-24 |
| 1033749775 | Deborah Schultz | Hearing Instrument Specialist | 1000 Hylan Dr Unit C4, Rochester, NY 14623-4218 | 2020-01-22 |
| 1407495971 | New Hartford Hearing Centers, Inc | Hearing Instrument Specialist | 8556 Seneca Tpk, New Hartford, NY 13413 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
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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.