KAREN CLARK (NPI# 1902203623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902203623 |
| Entity Type | Individual |
| Full Name | KAREN CLARK |
| Credential | AGNP |
| Practice Address |
4124 Kittrell Farms Dr Apt 3 Greenville NC 27858-8998 |
| Practice Telephone | 2529457868 |
| Mailing Telephone | 2529457868 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 152836 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC BON | 152836 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251276 | Karen Ann Clark | Physical Therapist | 1300 Soldiers Field Rd, Boston, MA 02135-1032 | 2019-12-06 |
| 1841608973 | Karen Clark | Pharmacist | 3919 N Maple St Lowr Level, Spokane, WA 99205-1349 | 2014-08-01 |
| 1710272315 | Karen Lea Clark | Pharmacist | 3000 E Highland Dr, Suite A, Jonesboro, AR 72401-6382 | 2011-06-13 |
| 1780824029 | Karen Chavis Clark | Pharmacist | 2295 Nc Highway 24 27 E, Biscoe, NC 27209 | 2009-02-26 |
| 1942462163 | Karen Clark | Registered Nurse | 130 Seekonk St, Norfolk, MA 02056-1169 | 2008-06-29 |
| 1811020134 | Karen D. Clark | Speech-Language Pathologist | 18424 N 51st Ave, Glendale, AZ 85308-1443 | 2007-03-14 |
| 1023057924 | Karen Noelle Clark | Psychologist | 16250 Northland Drive,ste 245, Southfield, MI 48075 | 2006-06-06 |
| 1174593727 | Karen A Clark | Internal Medicine | 5050 Sw Lee Blvd Ste 2, Lawton, OK 73505 | 2006-01-25 |
| 1851383962 | Karen Cox Clark | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2005-08-16 |
| 1548788722 | Karen Ann Clark | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2017-09-07 |
| Street Address |
4124 KITTRELL FARMS DR APT 3 |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-8998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| 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 |
|---|---|---|---|---|
| 1609482280 | Deanna Mclamb | Nurse Practitioner | 3102 Bell Arthur Rd, Greenville, NC 27834-4758 | 2020-09-19 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1760091482 | Melinda Kathryn Galford | Nurse Practitioner | 320 Falls St Apt 303, Greenville, SC 29601-2830 | 2020-07-28 |
| 1801414750 | Christopher Mangus | Nurse Practitioner | 1806 E 1st St Apt R9, Greenville, NC 27858-2214 | 2020-07-08 |
| 1932751559 | Caroline Gray Riddick | Nurse Practitioner | 527 Mills Ave # 201a, Greenville, SC 29605-5602 | 2019-07-13 |
| 1437621323 | Queeneice Boyette Ganison | Nurse Practitioner | 205 S Delta St, Greenville, MS 38703-4420 | 2018-12-18 |
| 1881169662 | Gerald Braden Wiggs | Nurse Practitioner | 3023 Fernleaf Dr, Greenville, NC 27858-8192 | 2018-10-09 |
| 1073091286 | Natalie Isbell Ragsdale | Nurse Practitioner | 20 Mcgee St, Greenville, SC 29601-2210 | 2018-07-31 |
| 1760980908 | Angela Nicole Gary | Nurse Practitioner | 1003 Grove Rd Ste C2, Greenville, SC 29605-4623 | 2018-01-23 |
| 1023527934 | Jennifer Anne Hovis | Nurse Practitioner | Hcr 2 5355, Greenville, MO 63944 | 2017-09-22 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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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.