KATIE CLARK (NPI# 1912366378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912366378 |
| Entity Type | Individual |
| Full Name | KATIE CLARK |
| Credential | ATC |
| Practice Address |
49383 Sheba Rd Jacobsburg OH 43933-9604 |
| Practice Telephone | 7403106683 |
| Mailing Telephone | 7403106683 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT.004707 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780225474 | Katie Jane Clark | Specialist | 44 Industrial Way Ste D, Lebanon, OR 97355-4364 | 2019-10-03 |
| 1831498450 | Katie Clark | Community Health Worker | 10709 N. Division St., Spokane, WA 99221 | 2011-03-22 |
| 1275195810 | Katie Clark | Case Manager/Care Coordinator | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2019-07-03 |
| 1851870182 | Katie Clark | Counselor | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-08 |
| 1417445180 | Katie Clark | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2018-04-27 |
| 1538661350 | Katie Clark | Registered Nurse | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-03-07 |
| 1649704362 | Katie Clark | Counselor | 18 County Center Dr, Oroville, CA 95965-3335 | 2017-04-19 |
| 1043768104 | Katie Lynn Clark | Registered Nurse | 1791 Alum Creek Drive, Columbus, OH 43207 | 2016-09-19 |
| 1164760369 | Katie Lynne Clark | Occupational Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2013-01-22 |
| 1104173970 | Katie Johnson Clark | Counselor | 5520 Sw Macadam Ave, Suite 270, Portland, OR 97239-3768 | 2012-08-10 |
| Street Address |
49383 SHEBA RD |
| City | JACOBSBURG |
| State | OH |
| Zip Code | 43933-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396024675 | Jennifer Louise Hezoucky | Music Therapist | 49563 O R and W Station St, Jacobsburg, OH 43933-9606 | 2011-08-04 |
| 1588621130 | Gwendolyn Ann Baker | Licensed Practical Nurse | 62440 Cumberland Run Rd, Jacobsburg, OH 43933-9717 | 2006-04-27 |
| 1407001878 | Susan Renee Reitter | Licensed Practical Nurse | 59247 Armstrong Centerville Rd, Jacobsburg, OH 43933-9797 | 2008-11-26 |
| 1992009369 | Douglas Aaron Gibson | Licensed Practical Nurse | 59247 Armstrong Centerville Rd, Jacobsburg, OH 43933-9797 | 2010-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396024675 | Jennifer Louise Hezoucky | Music Therapist | 49563 O R and W Station St, Jacobsburg, OH 43933-9606 | 2011-08-04 |
| 1407001878 | Susan Renee Reitter | Licensed Practical Nurse | 59247 Armstrong Centerville Rd, Jacobsburg, OH 43933-9797 | 2008-11-26 |
| 1588621130 | Gwendolyn Ann Baker | Licensed Practical Nurse | 62440 Cumberland Run Rd, Jacobsburg, OH 43933-9717 | 2006-04-27 |
| 1992009369 | Douglas Aaron Gibson | Licensed Practical Nurse | 59247 Armstrong Centerville Rd, Jacobsburg, OH 43933-9797 | 2010-12-28 |
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486313 | Jenifer Bojanowski | Specialist/Technologist | 1009 Parkleigh Rd, Columbus, OH 43220-4041 | 2020-11-01 |
| 1497355085 | Stephanie Soja | Specialist/Technologist | 4170 State Route 43, Kent, OH 44240-6916 | 2020-11-01 |
| 1518566769 | Hannah Dawn Bailey | Specialist/Technologist | 42338 State Route 7, Coolville, OH 45723-9519 | 2020-10-20 |
| 1790384949 | Erin Ball | Specialist/Technologist | 1121 Faircrest St Sw, Canton, OH 44706-4850 | 2020-10-20 |
| 1427657675 | Kacie Lucille Leppla | Specialist/Technologist | 6471 Township Road 346, Millersburg, OH 44654 | 2020-10-20 |
| 1144828815 | Sarah Abelseth | Specialist/Technologist | 2547 Panther Dr Ne, New Lexington, OH 43764-1396 | 2020-10-14 |
| 1235737511 | Kayla Marie Bartlett-ulrich | Specialist/Technologist | 1 University Dr # 128, Bluffton, OH 45817-2104 | 2020-10-09 |
| 1417554981 | Abbigayle Gesler | Specialist/Technologist | 1211 Oakridge Ct, Wapakoneta, OH 45895-9464 | 2020-10-07 |
| 1851998421 | Olivia A Saflund | Specialist/Technologist | 9514 Reiger Rd, Berlin Heights, OH 44814-9644 | 2020-10-06 |
| 1215534151 | Lideja White | Specialist/Technologist | 12507 Marston Ave, Cleveland, OH 44105-5452 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | JACOBSBURG |
| Zip Code | 43933 |
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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.