BOBBI S CLARK (NPI# 1922668904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922668904 |
| Entity Type | Individual |
| Full Name | BOBBI S CLARK |
| Credential | AGNP |
| Practice Address |
220 Page Rd Pinehurst NC 28374-8748 |
| Practice Telephone | 9107153500 |
| Practice Fax Number | 9107153501 |
| Mailing Telephone | 9107153500 |
| Mailing Fax Number | 9107153501 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5011909 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
220 PAGE RD |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225014178 | Todd A Moore | Internal Medicine | 220 Page Rd, Pinehurst, NC 28374-8748 | 2005-12-21 |
| 1295385748 | Mcpc-20, LLC | Obstetrics & Gynecology | 220 Page Rd, Pinehurst, NC 28374-8748 | 2019-09-17 |
| 1750525838 | Michael Steven Batalo | Internal Medicine | 220 Page Rd, Pinehurst, NC 28374-8748 | 2009-04-21 |
| 1134150345 | Susan Elizabeth Bazinet | Nurse Practitioner | 220 Page Rd, Pinehurst, NC 28374 | 2006-07-05 |
| 1669417820 | Ellen M Willard | Internal Medicine | 220 Page Rd, Pinehurst, NC 28374 | 2006-06-19 |
| 1063469856 | Charles Samuel Kuzma | Internal Medicine | 220 Page Rd, Pinehurst, NC 28374-8748 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346658564 | Liza Anton-valdez | Nurse Practitioner | 211 Tall Trees Dr, Pinehurst, NC 28374-8526 | 2014-07-31 |
| 1932108818 | Jerri P Patterson | Nurse Practitioner | 165 Turnberry Way, Pinehurst, NC 28374-8509 | 2005-07-21 |
| 1790394898 | Preferred Network Pllc | Nurse Practitioner | 211 Tall Trees Dr, Pinehurst, NC 28374-8526 | 2020-07-24 |
| 1669013553 | At Home Medical Care Pllc | Nurse Practitioner | 211 Tall Trees Dr, Pinehurst, NC 28374-8526 | 2019-10-02 |
| 1356833958 | Meagan Bradham Mclean | Nurse Practitioner | 165 Turnberry Way, Pinehurst, NC 28374-8509 | 2018-05-31 |
| 1396252722 | Sara Lawrence | Nurse Practitioner | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2018-01-08 |
| 1720504558 | Lisha A Steed | Nurse Practitioner | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2017-08-14 |
| 1679923635 | Keynadomnicia Chioma Udenze | Nurse Practitioner | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2016-06-20 |
| 1922478049 | Katherine N Wylie | Nurse Practitioner | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2015-10-01 |
| 1801291935 | Deanna L Mills | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2014-10-31 |
| Find all providers in PINEHURST | ||||
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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.