MRS. KATHERINE WHITESIDE CLARK (NPI# 1881920866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881920866 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE WHITESIDE CLARK |
| Credential | M.A., L.P.C. |
| Practice Address |
3104 Blue Lake Dr Suite 100 Birmingham AL 35243-2345 |
| Practice Telephone | 2059773003 |
| Practice Fax Number | 2059773939 |
| Mailing Telephone | 2059773003 |
| Mailing Fax Number | 2059773939 |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2471 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345961 | Katherine Elizabeth Clark | Licensed Practical Nurse | 764 Patriot Pkwy Apt 203, Rock Hill, SC 29730-2750 | 2020-01-08 |
| 1770146243 | Katherine T Clark | Pharmacist | 60101 Bodnar Blvd Ste 100, Mishawaka, IN 46544-9328 | 2019-04-19 |
| 1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
| 1104364231 | Katherine Mary Clark | Nurse Anesthetist, Certified Registered | 9205 122nd Ct Ne, Apt A107, Kirkland, WA 98033-5882 | 2017-02-09 |
| 1528207131 | Katherine Clark | Physical Therapist | 1630 Campus Park Dr Ste D, Monroe, NC 28112-5270 | 2009-02-05 |
| 1275791949 | Katherine Diane Clark | Counselor | 400 W Midland Ave, Suite 202, Woodland Park, CO 80863-3144 | 2008-05-29 |
| 1194749978 | Katherine Elizabeth Clark | Dentist | 130 Ben Casey Dr, Suite 105, Fort Mill, SC 29708-6567 | 2006-07-26 |
| 1144289943 | Katherine W Clark | Family Medicine | 1 Paradies Ln, New Paltz, NY 12561-4031 | 2006-03-21 |
| 1548229404 | Katherine Ann Clark | Licensed Practical Nurse | 89 Laundon St, Elyria, OH 44035-6117 | 2006-03-20 |
| 1851918783 | Katherine Clark | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-06-26 |
| Street Address |
3104 BLUE LAKE DR SUITE 100 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35243-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285882837 | Leah Bryant Waller | Social Worker | 3104 Blue Lake Dr, Suite 100, Birmingham, AL 35243-2345 | 2008-09-08 |
| 1225297351 | Melinda G Higginbotham | Counselor | 3104 Blue Lake Dr, Suite 100, Birmingham, AL 35243-2345 | 2008-06-04 |
| 1932393410 | Jill Siniard Kimbrough | Psychiatry & Neurology | 3104 Blue Lake Dr, Suite 100, Birmingham, AL 35243-2306 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827031 | Marable Counseling & Consulting Services, LLC | Counselor | 400 Century Park S Ste 106, Birmingham, AL 35226-3925 | 2020-10-05 |
| 1568077402 | Grace Counseling | Counselor | 300 Cahaba Park Cir Ste 202, Birmingham, AL 35242-5005 | 2020-09-08 |
| 1194339267 | Sara Elizabeth Dungan | Counselor | 2917 Central Ave Ste 305, Birmingham, AL 35209-2576 | 2020-09-04 |
| 1952914004 | Yellow Bird Counseling, LLC | Counselor | 2100a Southbridge Pkwy Ste 650, Birmingham, AL 35209-1377 | 2020-08-28 |
| 1306462056 | Lauren K Swain | Counselor | 3536 Vann Rd Ste A-6a7, Birmingham, AL 35235-3207 | 2020-06-18 |
| 1366070906 | Linda H. Foster | Counselor | 644 Bienville Ln, Birmingham, AL 35213-2014 | 2020-03-30 |
| 1144865460 | Alzelda Richardson | Counselor | 2517 Center Point Pkwy, Birmingham, AL 35215-2548 | 2019-11-11 |
| 1881236313 | Charlotte Lee Daughhetee | Counselor | 1441 Oakridge Dr, Birmingham, AL 35242-3520 | 2019-10-16 |
| 1932758109 | Deegan Malone | Counselor | 2721 Jenny Ln, Birmingham, AL 35243-4107 | 2019-09-10 |
| 1124675053 | Endurance Counseling LLC | Counselor | 7916 2nd Ave S, Birmingham, AL 35206-3804 | 2019-08-26 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35243 |
Please comment or provide details below to improve the information on MRS. KATHERINE WHITESIDE 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.