CALVIN CLARKE (NPI# 1851761027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851761027 |
| Entity Type | Individual |
| Full Name | CALVIN CLARKE |
| Practice Address |
11019 Canyon Rd E Ste A Puyallup WA 98373-3001 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 2535370293 |
| Practice Fax Number | 2535377650 |
| Mailing Telephone | 2535370293 |
| Mailing Fax Number | 2535377650 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60498791 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1011 E Main, Suite 302, Puyallup, WA 983726779 | 2538412471 | 2538412472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184846081 | Calvin Clarke | Dentist | 890 Sunset Dr., Ste.a-1b, Hollister, CA 95023 | 2007-05-02 |
| 1629113345 | Calvin S Clarke | Optometrist | 4314 Kemp Blvd, Wichita Falls, TX 76308 | 2007-02-20 |
| Street Address |
11019 CANYON RD E STE A |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497718316 | Courtney Anne Albert | Nurse Practitioner | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2006-04-11 |
| 1144837345 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2020-09-30 |
| 1063999753 | Taelin Lanier | Dietitian, Registered | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2018-07-25 |
| 1447762000 | Lex Barker | Physician Assistant | 11019 Canyon Rd E Ste A, Puyallup, WA 98373 | 2017-11-03 |
| 1760917363 | Annalyse R Quintero | Family Medicine | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2017-04-21 |
| 1710332259 | David Brent Mccaleb | Family Medicine | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2016-05-03 |
| 1538456280 | John Dinh | Family Medicine | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2011-07-01 |
| 1528210838 | Tracy D Brady | Family Medicine | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473103 | Deanna Jaye Mehlhoff | Nurse Practitioner | 18622 94th Avenue Ct E, Puyallup, WA 98375-9644 | 2020-03-24 |
| 1740824960 | Lisa A Duran | Nurse Practitioner | 2117 27th Pl Se, Puyallup, WA 98372-5145 | 2019-10-30 |
| 1467093534 | Bridgitte Sims | Nurse Practitioner | 15207 105th Avenue Ct E, Puyallup, WA 98374-9748 | 2019-09-30 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1174070213 | Ericka Marie Gianotto | Nurse Practitioner | 2930 S Meridian Ste 200, Puyallup, WA 98373-1654 | 2016-09-07 |
| 1174938914 | Janet Howe | Nurse Practitioner | 400 15th Ave Se Ste B, Puyallup, WA 98372-3750 | 2014-06-30 |
| 1417202656 | Jessica Anne Greb | Nurse Practitioner | 16515 Meridian E Ste 104a, Puyallup, WA 98375-6255 | 2012-07-13 |
| 1497718316 | Courtney Anne Albert | Nurse Practitioner | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2006-04-11 |
| 1831176999 | Helene Susan Dehaan | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2005-12-29 |
| 1851398739 | Denise R Cummings | Nurse Practitioner | 1002 39th Ave Sw Ste 203, Puyallup, WA 98373-3805 | 2005-07-07 |
| Find all providers in PUYALLUP | ||||
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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.