REBECCA CLARK (NPI# 1861557563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861557563 |
| Entity Type | Individual |
| Full Name | REBECCA CLARK |
| Credential | FOSTER PARENT |
| Practice Address |
2703 S 37th Dr Yuma AZ 85364-5983 |
| Practice Telephone | 9287261636 |
| Mailing Telephone | 9287261636 |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
11351 | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978833 | Rebecca Clark | Massage Therapist | 244 Madison Ave # 391, New York, NY 10016-2817 | 2020-09-30 |
| 1184130759 | Rebecca Lee Clark | Registered Nurse | 2435 Kimberly Rd Ste 10n, Bettendorf, IA 52722-3572 | 2017-12-19 |
| 1144761099 | Rebecca Clark | Counselor | 24401 W 39th St S, Goddard, KS 67052-8713 | 2017-03-11 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1831112671 | Rebecca Jand Clark | Counselor | 1501 San Pedro Se (116), Albuquerque, NM 87108 | 2006-07-25 |
| 1922067859 | Rebecca A Clark | Physician Assistant | 664 N Main St, Pearson, GA 31642 | 2006-03-20 |
| 1124004700 | Rebecca Elizabeth Clark | Nurse Practitioner | 1811 State St, Nashville, TN 37203-2205 | 2005-12-15 |
| 1841811098 | Rebecca L Clark | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-04-29 |
| 1073149167 | Rebecca Maria Clark | Genetic Counselor, MS | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224-1334 | 2020-03-20 |
| 1891346466 | Rebecca Mae Clark | Pharmacist | 5804 1st Ave S, Birmingham, AL 35212-2524 | 2019-09-25 |
| Street Address |
2703 S 37TH DR |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-5983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586128 | Sara Zermeno | Respite Care | 12734 E 44th Dr, Yuma, AZ 85367-4734 | 2019-09-04 |
| 1447792304 | Maria G Ahmed | Respite Care | 134 W 22nd St, Yuma, AZ 85364-6521 | 2016-11-09 |
| 1790131654 | Braulia Arleth Alejandrina Medina | Respite Care | 2254 W Brook St, Yuma, AZ 85364-4564 | 2016-05-10 |
| 1649643065 | Zarephath Inc. | Respite Care | 11680 E 36th St, Yuma, AZ 85367-4984 | 2015-11-06 |
| 1811363476 | Alfonso Solis Jr. | Respite Care | 750 S 15th Ave # Apmt7d, Yuma, AZ 85364-2845 | 2015-08-18 |
| 1790948875 | Angela Stroh-grizzle | Respite Care | 14627 S Verde Ave, Yuma, AZ 85365-9336 | 2008-07-08 |
| 1336306661 | Elizabeth Ann Henley | Respite Care | 2755 S 4th Ave, Bldg 3 Ste 104, Yuma, AZ 85364-7236 | 2008-05-22 |
| 1518137132 | Veronica Alford | Respite Care | 500 E 26th Pl, Yuma, AZ 85365-2824 | 2008-03-11 |
| 1427231141 | Carl Franklin Nevels IIi | Respite Care | 1487 W 4th St, Yuma, AZ 85364-1919 | 2007-12-17 |
| 1831378660 | Nadia Vernice Nevels | Respite Care | 833 S Ave A, # 31, Yuma, AZ 85364-3768 | 2007-10-29 |
| Find all providers in YUMA | ||||
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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.