SHANA CLARK (NPI# 1861004319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861004319 |
| Entity Type | Individual |
| Full Name | SHANA CLARK |
| Credential | RN |
| Practice Address |
25900 Greenfield Rd Ste 414 Oak Park MI 48237-1267 |
| Mailing Address |
23745 Rockingham St Southfield MI 48033-7025 |
| Practice Telephone | 2482421193 |
| Mailing Telephone | 2482421193 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704307625 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 8848947 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710407218 | Shana Marie Clark | Nurse Practitioner | 6101 Terry Rd, Louisville, KY 40258-3027 | 2017-06-26 |
| 1851321251 | Shana S Clark | Psychiatry & Neurology | 103a Saint James Pl, Mansfield, PA 16933-1257 | 2006-07-03 |
| 1942441381 | Shana Clark | Nurse's Aide | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-03-16 |
| 1942365622 | Shana Elaine Clark | Counselor | 4219 Richmond Ave, Ste. 219, Houston, TX 77027-6893 | 2006-12-24 |
| Street Address |
25900 GREENFIELD RD STE 414 |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386290328 | Purpose Home & Hospice Care LLC | Home Health | 25900 Greenfield Rd Ste 414, Oak Park, MI 48237-1267 | 2019-08-15 |
| 1326650862 | Thea Y Parker | Registered Nurse | 25900 Greenfield Rd Ste 414, Oak Park, MI 48237-1267 | 2020-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700344462 | Jan Marie Songe | Registered Nurse | 8219 Oak Park Blvd, Oak Park, MI 48237-1810 | 2019-03-12 |
| 1568962876 | Deidre Matthews | Registered Nurse | 21371 Ridgedale St, Oak Park, MI 48237-2707 | 2018-02-14 |
| 1114433752 | Latrese Williams | Registered Nurse | 24641 Ridgedale St, Oak Park, MI 48237-1451 | 2017-12-19 |
| 1700397585 | Carla B Johnson | Registered Nurse | 10000 Corning St, Oak Park, MI 48237-2902 | 2017-10-19 |
| 1760992671 | Maryann Johnson | Registered Nurse | 7115 North Ave # 115, Oak Park, IL 60302-1002 | 2017-10-05 |
| 1356850416 | Lynn Reisberg | Registered Nurse | 1146 Wenonah Ave, Oak Park, IL 60304-1815 | 2017-09-21 |
| 1942721519 | Lynda Lauer Pence | Registered Nurse | 8400 Northfield Blvd, Oak Park, MI 48237-1807 | 2017-07-04 |
| 1295262913 | Devoughn T. Owens | Registered Nurse | 23580 Meadowlark St, Oak Park, MI 48237-2275 | 2017-05-11 |
| 1962942532 | Christina Marie Gordon | Registered Nurse | 924 N Taylor Ave, Oak Park, IL 60302-1458 | 2017-03-02 |
| 1740739440 | Lisa Eason | Registered Nurse | 24731 Rensselaer St, Oak Park, MI 48237-1772 | 2016-09-23 |
| Find all providers in OAK PARK | ||||
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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.