RACHEL LOUISE CLARK (NPI# 1871100255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871100255 |
Entity Type | Individual |
Full Name | RACHEL LOUISE CLARK |
Practice Address |
781 Grand Casino Blvd Shawnee OK 74804-1005 |
Practice Telephone | 4059645770 |
Practice Fax Number | 4059645788 |
Mailing Telephone | 4059645770 |
Mailing Fax Number | 4059645788 |
Enumeration Date | 2020-09-29 |
Last Update Date | 2020-09-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 60894 | OK | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376153429 | Rachel Anne Clark | Nurse Practitioner | 6390 County Road 10, Zanesfield, OH 43360-9773 | 2020-08-04 |
1871068965 | Rachel Annette Clark | Advanced Practice Midwife | 1111 Old Railroad Bed Rd # 23, Taft, TN 38488-9998 | 2018-10-04 |
1306376843 | Rachel Clark | Social Worker | 2235 12th St Apt F146, Idaho Falls, ID 83404-5743 | 2017-06-18 |
1780122531 | Rachel Clark | Chiropractor | 10300 Campus Point Dr, San Diego, CA 92121 | 2017-02-01 |
1316304975 | Rachel L Clark | Nurse Practitioner | 1375 W Green St Ste 3, Hastings, MI 49058-1708 | 2016-01-26 |
1316320450 | Rachel Clark | Behavioral Analyst | 1508 Sun Valley Rd Se, Huntsville, AL 35801-2101 | 2015-07-07 |
1356730501 | Rachel Claire Clark | Social Worker | 206 Reily Street, Harrisburg, PA 17102 | 2015-01-12 |
1346500766 | Rachel Elaine Clark | Counselor | 1351 Newtown Pike, Bldg 4, Lexington, KY 40511 | 2012-05-18 |
1295928810 | Rachel Clark | Physical Therapist | 970 Monument St Ste 270, Pacific Palisades, CA 90272-3800 | 2007-08-27 |
1619591849 | Rachel Clark | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-03 |
Street Address |
781 GRAND CASINO BLVD |
City | SHAWNEE |
State | OK |
Zip Code | 74804-1005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285606608 | George A Vascellaro | Family Medicine | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2006-02-02 |
1518593656 | Chantel Renne Andrews | Registered Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2020-03-20 |
1588209423 | Murphi E Sparkman | Physician Assistant | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2019-11-14 |
1427515568 | Markie Ryan Carlock | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2019-02-25 |
1790241370 | Lori Ishman | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2019-02-19 |
1063978757 | Nicole Brown | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2019-02-18 |
1093211732 | Jessica Williams | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2018-04-02 |
1376052795 | Jennifer Robertson | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804 | 2017-09-28 |
1487011169 | Stephanie Ruby | Registered Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2016-01-26 |
1285010850 | Mason Leftwich | Registered Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2015-08-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
Find all providers in zip 74804 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: 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 |
---|---|---|---|---|
1851635445 | Melonie B Taylor | Licensed Practical Nurse | 5516 Caenen St, Shawnee, KS 66216-1923 | 2012-11-20 |
1851689723 | Amanda Mae Sims | Licensed Practical Nurse | 1300 Rickey Rd, Shawnee, OK 74801-5414 | 2011-07-13 |
1619505179 | Kiley Nicole Henderson | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-31 |
1801422944 | Joni Pataki | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-20 |
1629618640 | Savannah Nycole Bagwell | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-01-07 |
1770130379 | Darci Leigh Jenkins | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-08-20 |
1720630262 | Dayna Kathleen Grandstaff | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-07-15 |
1750848339 | Kinsey Hall | Licensed Practical Nurse | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-03-01 |
1427515568 | Markie Ryan Carlock | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2019-02-25 |
1790241370 | Lori Ishman | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2019-02-19 |
Find all providers in SHAWNEE |
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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.