MRS. SANDRA A CLARK (NPI# 1861423527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861423527 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA A CLARK |
| Credential | D.C. |
| Practice Address |
6646 W Johnson Rd La Porte IN 46350-8243 |
| Practice Telephone | 8669329630 |
| Mailing Telephone | 8669329630 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08002710A | IN | Chiropractic Providers |
| N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
08002710A | IN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1013568039 | Sandra D Clark | Technician | 718 W 14th St, Junction City, KS 66441-2129 | 2019-09-20 |
| 1972980001 | Sandra Clark | Counselor | 66950 Ironwood Dr Apt 223, Desert Hot Springs, CA 92240-4401 | 2015-04-27 |
| 1154750586 | Sandra Clark | Social Worker | 3805 Woodside Dr, Sanford, NC 27332-8110 | 2013-11-06 |
| 1205142106 | Sandra Denice Clark | Counselor | 5701 N Hills St, Meridian, MS 39307-2903 | 2010-08-30 |
| 1003141425 | Sandra Ellen Clark | Speech-Language Pathologist | 242 Maple Dr, Shippenville, PA 16254-9022 | 2009-10-03 |
| 1487890489 | Sandra Marie Clark | Registered Nurse | 312 E 207th St, Bronx, NY 10467-4202 | 2008-12-21 |
| 1669623708 | Sandra Kay Clark | Behavioral Analyst | 16503 W Mckinley St, Goodyear, AZ 85338-6170 | 2008-10-07 |
| 1669696019 | Sandra Clark | Social Worker | 534 S Terrace Rd, Chandler, AZ 85226-4626 | 2007-04-13 |
| 1578692463 | Sandra Clark | Radiologic Technologist | 139 County Road 379, Water Valley, MS 38965-3607 | 2007-03-05 |
| Street Address |
6646 W JOHNSON RD |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-8243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841613718 | Clark's Family Chiropractic, LLC | Chiropractor | 6646 W Johnson Rd, La Porte, IN 46350-8243 | 2014-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720439771 | Morgan Lacy Harris | Chiropractor | 223 Dwire Dr, La Porte, TX 77571-7029 | 2016-06-30 |
| 1386920353 | Danny Louis Rives Jr. | Chiropractor | 10015 Rustic Gate Rd, La Porte, TX 77571-4148 | 2011-10-22 |
| 1871899815 | Jamie Lee Anderson | Chiropractor | 1003 S. Broadway St., La Porte, TX 77571 | 2011-02-09 |
| 1447494984 | Bayside Chiropractic, Pllc | Chiropractor | 410 E Fairmont Pkwy Ste C, La Porte, TX 77571-6486 | 2009-04-28 |
| 1497904700 | Dr. Victor A. Peres, Pllc | Chiropractor | 10932 Spencer Hwy Ste B, La Porte, TX 77571-4302 | 2008-09-10 |
| 1518172188 | Larry Alan Ward | Chiropractor | 10335 Shell Rock, La Porte, TX 77571 | 2007-05-14 |
| 1144372939 | Grant Chiropractic Clinic, Inc | Chiropractor | 451 Pine Lake Ave, La Porte, IN 46350-2314 | 2007-01-18 |
| 1518034297 | Victor Allen Peres | Chiropractor | 10932 Spencer Hwy, Ste B, La Porte, TX 77571-4302 | 2006-11-29 |
| 1659837953 | Elizabeth Villarreal Barcenas | Chiropractor | 10407 W Fairmont Pkwy Ste C, La Porte, TX 77571-6018 | 2019-02-12 |
| 1700332749 | Rassel Family Chiropractic Center | Chiropractor | 1108 Indiana Ave, La Porte, IN 46350-4946 | 2016-08-30 |
| Find all providers in LA PORTE | ||||
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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.