KERRY A CLARK


Address: 2 Dudley St, Ste 200, Providence, RI 02905-3236
Phone: 4014571540

KERRY A CLARK (NPI# 1861436362) 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) 1861436362
Entity Type Individual
Full Name KERRY A CLARK
Credential NP
Practice Address 2 Dudley St
Ste 200
Providence
RI 02905-3236
Mailing Address Po Box 1119
Providence
RI 02901-1119
Practice Telephone 4014571540
Mailing Telephone 4014571540
Enumeration Date 2006-06-15
Last Update Date 2013-06-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
NPP26017 RI Physician Assistants & Advanced Practice Nursing Providers

Other Providers KERRY CLARK

NPI Name Taxonomy Address Enumeration
1134754948 Kerry S Clark Nurse Practitioner 156 3rd Ave, Nauvoo, AL 35578-3238 2020-03-12
1023671336 Kerry Clark Pharmacist 13740 W State Highway 29 Ste 4, Liberty Hill, TX 78642-6363 2019-04-22
1114366168 Kerry R Clark Dietitian, Registered 101 W 8th Ave, Suite 1100, Spokane, WA 99204-2307 2013-06-21
1629369111 Kerry A Clark Occupational Therapist 3200 Providence Dr, Anchorage, AK 99508-4615 2011-05-02
1851607162 Kerry Leann Clark Physical Therapy Assistant 814 Walnut St, Chetopa, KS 67336-8990 2010-08-24
1306159983 Kerry Mccrae Clark Pharmacist 36 N Main St, Alfred, NY 14802-1011 2010-07-23
1093802365 Kerry R Clark Internal Medicine 25751 Mcbean Pkwy, Ste 210, Valencia, CA 91355-3701 2006-10-06

Office Location

Street Address 2 DUDLEY ST
STE 200
City PROVIDENCE
State RI
Zip Code 02905-3236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356343651 Northeast Orthotics and Prosthetics Inc Prosthetic/Orthotic Supplier 2 Dudley St, Ste 161, Providence, RI 02905-3236 2005-06-01
1366935231 Christy Gandhi Obstetrics & Gynecology 2 Dudley St, Providence, RI 02905-3236 2018-06-14
1295274215 Nora Kinslow Occupational Therapist 2 Dudley St, Suite 200, Providence, RI 02905-3236 2017-02-23
1578008082 Laura Nelson Occupational Therapist 2 Dudley St, Suite 200, Providence, RI 02905-3236 2016-12-20
1619328127 Bryan Jon Berlin Physician Assistant 2 Dudley St, Suite 200, Providence, RI 02905-3236 2016-06-27
1245600238 Kristin Wedel Social Worker 2 Dudley St, Providence, RI 02905-3236 2015-10-02
1497155378 Michael Platz Occupational Therapist 2 Dudley St, Ste 200, Providence, RI 02905-3236 2014-08-28
1164831160 Nicholas Bruno Physical Therapist 2 Dudley St, Suite 200, Providence, RI 02905-3236 2014-08-05
1619389160 Laurie J Deruosi Nurse Practitioner 2 Dudley St, Suite G 85, Providence, RI 02905-3236 2014-06-02
1851729511 Rhode Island Hospital Surgery 2 Dudley St, Suite 180, Providence, RI 02905-3236 2013-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
1891265443 Carolyn Te Young Pathology 1320 Narragansett Blvd, Cranston, RI 02905 2018-11-27
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1922577394 Dilenia C Cruz Health Educator 335r Prairie Ave., Suite 2b, Providence, RI 02905 2018-11-15
1639653116 Varina S. Gunn Health Educator 335r Prarie Ave., Suite 2b, Providence, RI 02905 2018-09-20
1427590421 Cardea Healthcare LLC In Home Supportive Care 100 Pavilion Avenue, Suite 101, Providence, RI 02905 2016-11-08
1265884597 Maxwell King Physical Therapy Assistant 48 Moorland Avenue, Cranston, RI 02905 2016-07-11
1346698024 Samantha Lea Colli Physician Assistant 100 Dudley St Fl 3, Providence, RI 02905 2016-06-02
1346697448 Amy Jean Simpson Marriage & Family Therapist 1981 Broad Street, Cranston, RI 02905 2016-05-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154933984 Sarah Jane France Nurse Practitioner 1 Randall Sq Ste 409, Providence, RI 02904-7405 2020-08-22
1225664386 Monica A Harris Nurse Practitioner 1078 S 800 E, Providence, UT 84332-2400 2020-03-20
1669008728 Sean Andrew Rebello Nurse Practitioner 180 Corliss St Ste E, Providence, RI 02904-2602 2020-03-19
1902456270 Nelsy Robles Colon Nurse Practitioner 1 Randall Sq Ste 205, Providence, RI 02904-2773 2019-09-18
1518511021 Effiem Obasi Nurse Practitioner 143 Longwood Ave, Providence, RI 02908-1121 2019-08-01
1861056608 Temperance Taylor Nurse Practitioner 222 Dora St Apt 1, Providence, RI 02909-3824 2019-04-26
1790240141 Miriannys Rivas Nurse Practitioner 170 Rhodes St, Providence, RI 02903-4919 2019-02-08
1962970947 Wesley Irish Nurse Practitioner 21 Pekin St, Providence, RI 02908-3716 2018-11-07
1902317449 Ashley Lynn Wright Nurse Practitioner 120 Dudley St Ste 104, Providence, RI 02905-2431 2017-10-23
1699216226 Julie L'europa Nurse Practitioner 1085 North Main Street, Providence, RI 02904-7426 2017-03-15
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Competitor

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City PROVIDENCE
Zip Code 02905

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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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