MRS. JUDITH YVETTE CLARK (NPI# 1871884155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871884155 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH YVETTE CLARK |
| Credential | APRN |
| Practice Address |
10051 5th St N Ste 200 Saint Petersburg FL 33702-2211 |
| Practice Telephone | 7278240780 |
| Practice Fax Number | 8135148891 |
| Mailing Telephone | 7278240780 |
| Mailing Fax Number | 8135148891 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN1442252 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014122300 | 05 | |
| FL | BCBS | Y086K | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861717597 | Judith Ann Clark | Counselor | 244 Jefferson St, Lexington, KY 40508-1217 | 2010-04-06 |
| 1356440275 | Judith Z Clark | Psychologist | 126 Old Mammoth Rd, Suite 214, Mammoth Lakes, CA 93546 | 2006-09-21 |
| 1780682138 | Judith Cr Clark | Nurse Practitioner | 375 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2005-07-11 |
| 1487941308 | Judith Clark | Social Worker | 91 Elm St, Westfield, MA 01085-2906 | 2011-06-29 |
| 1508191818 | Judith Alice Clark | Pharmacist | 10405 N La Canada Dr, Oro Valley, AZ 85737-6945 | 2009-10-05 |
| 1316117898 | Judith Lynn Clark | Physical Therapy Assistant | 6455 Pearl Rd, Parma Heights, OH 44130-2984 | 2008-03-11 |
| 1346421658 | Judith J Clark | Counselor | 1803 Oregon Pike, Lancaster, PA 17601-6401 | 2007-11-15 |
| 1740379098 | Judith Clark | Psychologist | 49 Pleasant St, Weymouth, MA 02190-2435 | 2006-10-12 |
| 1003928466 | Judith L Clark | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-8608 | 2006-08-31 |
| Street Address |
10051 5TH ST N STE 200 |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33702-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508185992 | Hemendra Shrigopal Sarda | Family Medicine | 10051 5th St N Ste 200, Saint Petersburg, FL 33702-2211 | 2010-05-25 |
| 1104914845 | Amy Virginia Bond-rozelle | Nurse Practitioner | 10051 5th St N Ste 200, Saint Petersburg, FL 33702-2211 | 2006-10-10 |
| 1649365636 | Ashish G Shah | Family Medicine | 10051 5th St N Ste 200, Saint Petersburg, FL 33702-2211 | 2006-10-04 |
| 1790719094 | Haidong Nguyen | Family Medicine | 10051 5th St N Ste 200, Saint Petersburg, FL 33702-2211 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
| 1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
| 1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
| 1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
| 1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
| 1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
| 1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
| 1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
| Find all providers in zip 33702 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147696 | Sarah Christine Burgess | Nurse Practitioner | 3622 Prescott St N, Saint Petersburg, FL 33713-1937 | 2020-09-02 |
| 1154979839 | Amber Nicole Russo | Nurse Practitioner | 2201 51st St N, Saint Petersburg, FL 33710-3510 | 2019-08-27 |
| 1184776643 | Joanne Marie Nuttall | Nurse Practitioner | 721 6th Ave S, Saint Petersburg, FL 33701-4500 | 2007-01-17 |
| 1144845413 | Stase Elena Michota | Nurse Practitioner | 6901 22nd Ave N, Saint Petersburg, FL 33710-3943 | 2020-06-12 |
| 1255972857 | Denielle White | Nurse Practitioner | 601 5th St S Ste 502, Saint Petersburg, FL 33701-4804 | 2019-10-04 |
| 1902460678 | Kristelle M Gillim | Nurse Practitioner | 701 6th St S, Saint Petersburg, FL 33701-4814 | 2019-04-27 |
| 1477951895 | Stephanie Frank | Nurse Practitioner | 5798 38th Ave N, Saint Petersburg, FL 33710-1926 | 2014-12-17 |
| 1023391257 | Erin E Quintero | Nurse Practitioner | 1201 5th Ave N, Suite 408, Saint Petersburg, FL 33705-1425 | 2011-09-23 |
| 1285932707 | Melinda L Coffman | Nurse Practitioner | 6000 49th St N, Saint Petersburg, FL 33709-2114 | 2011-03-08 |
| 1003149519 | Whitnie Saron Padron | Nurse Practitioner | 5200 Seminole Blvd, Saint Petersburg, FL 33708-3378 | 2009-09-15 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33702 |
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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.