ANDREA WIGGINS CLARK (NPI# 1871151407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871151407 |
Entity Type | Individual |
Full Name | ANDREA WIGGINS CLARK |
Credential | DVM |
Practice Address |
9482 Brownsboro Rd Louisville KY 40241-1118 |
Practice Telephone | 5024126322 |
Mailing Telephone | 5024126322 |
Enumeration Date | 2019-05-29 |
Last Update Date | 2019-05-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | 147578 | KY | Technologists, Technicians & Other Technical Service Providers |
Street Address |
9482 BROWNSBORO RD |
City | LOUISVILLE |
State | KY |
Zip Code | 40241-1118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
Find all providers in zip 40241 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558602110 | Kentucky Diagnostics | Specialist/Technologist, Other | 7321 New L Agrange Road, Suite 207, Louisville, KY 40222 | 2013-03-07 |
1053643346 | Aida Sehic | Specialist/Technologist, Other | 3005 Springcrest Dr, Louisville, KY 40241-2755 | 2010-02-11 |
1831348069 | Elmer M Tribble | Specialist/Technologist, Other | 9205 Rainbow Springs Ct, Apt. 5, Louisville, KY 40241-2243 | 2008-09-11 |
1831434505 | Lori Sexton | Specialist/Technologist, Other | 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 | 2012-12-06 |
1790020469 | Hanna Vaughn | Specialist/Technologist, Other | 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 | 2012-12-06 |
1639414303 | Tina Pennington | Specialist/Technologist, Other | 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 | 2012-12-06 |
1982950390 | Julie Young | Specialist/Technologist, Other | 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 | 2012-08-03 |
1922323328 | Lori Ann Jones | Specialist/Technologist, Other | 800 Zorn Ave, Routing #11c, Louisville, KY 40206-1433 | 2010-03-30 |
1568603306 | Tiffany Thompson | Specialist/Technologist, Other | 800 Zorn Ave, Louisville, KY 40206-1433 | 2009-03-06 |
1922048438 | Trisha Gallagher | Specialist/Technologist, Other | 571 S Floyd St, Suite 100, Louisville, KY 40202-3818 | 2006-06-07 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40241 |
Please comment or provide details below to improve the information on ANDREA WIGGINS CLARK.
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.