MRS. ANNA MARIA CLARK (NPI# 1932619616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932619616 |
| Entity Type | Individual |
| Full Name | MRS. ANNA MARIA CLARK |
| Other Name | MS. ANNA MARIA BRERETON-HUBBARD |
| Credential | WHNP |
| Practice Address |
621 S New Ballas Rd Ste 4017b Saint Louis MO 63141-8269 |
| Mailing Address |
2174 Cedar Forest Ct Chesterfield MO 63017-7201 |
| Practice Telephone | 3144882134 |
| Practice Fax Number | 3142514234 |
| Mailing Telephone | 3147958748 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2017039220 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548617749 | Anna Clark | Social Worker | 6 Lansbury Ln, Andover, MA 01810-3361 | 2016-05-17 |
| 1265714018 | Anna Clark | Marriage & Family Therapist | 1257b Montgomery St, San Francisco, CA 94133-7066 | 2011-09-16 |
| 1447412879 | Anna Clark | Speech-Language Pathologist | 3720 Stockbridge Ave, Los Angeles, CA 90032-2435 | 2008-06-26 |
| 1891309639 | Anna G Clark | Occupational Therapist | 956 Mathias Dr, Springdale, AR 72762-0985 | 2020-08-31 |
| 1023649167 | Anna Clark | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-01-28 |
| 1669934642 | Anna C Clark | Counselor | 674 Highlands Rd, Franklin, NC 28734-9566 | 2019-04-01 |
| 1447735444 | Anna R. Clark | Counselor | Gibault Care, Inc., 6401 S. Us Hwy 41, Terre Haute, IN 47802-4749 | 2018-09-26 |
| 1457705733 | Anna Irene Clark | Dermatology | 500 J Clyde Morris Blvd Fl 2, Newport News, VA 23601-1929 | 2016-04-22 |
| 1699157719 | Anna Marie Clark | Registered Nurse | 8402 Harcourt Rd, Suite 125, Indianapolis, IN 46260-2074 | 2015-06-25 |
| 1366858490 | Anna Marie Clark | Occupational Therapist | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2014-07-09 |
| Street Address |
621 S NEW BALLAS RD STE 4017B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336478007 | Sara M Koenig | Nurse Practitioner | 621 S New Ballas Rd Ste 4017b, Saint Louis, MO 63141-8269 | 2009-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578873 | Saskia Naomi Chaskelson | Nurse Practitioner | 1309 Louisville Ave, Saint Louis, MO 63139-3421 | 2020-04-27 |
| 1902450695 | Erica Walter | Nurse Practitioner | 4590 Childrens Pl Fl 4, Saint Louis, MO 63110-1020 | 2019-07-31 |
| 1801305677 | Courtney E Turnbough | Nurse Practitioner | 621 S New Ballas Rd Ste 2002b, Saint Louis, MO 63141-8265 | 2017-09-25 |
| 1205126679 | Amanda S Mcintyre | Nurse Practitioner | 1027 Bellevue, Suite 205, Saint Louis, MO 63117-1811 | 2011-04-19 |
| 1447589049 | Elizabeth Cook | Nurse Practitioner | 615 S New Ballas Rd Ste G-2198, Saint Louis, MO 63141-8221 | 2009-12-10 |
| 1336478007 | Sara M Koenig | Nurse Practitioner | 621 S New Ballas Rd Ste 4017b, Saint Louis, MO 63141-8269 | 2009-12-09 |
| 1023252707 | Tram T Wallen | Nurse Practitioner | 1 Parkview Pl # 6800-p, Saint Louis, MO 63110-1038 | 2009-04-27 |
| 1396948162 | Kristen A Zysk | Nurse Practitioner | 12700 Southfork Rd # St.230, Saint Louis, MO 63128-3201 | 2007-06-07 |
| 1871657981 | Kristin Joy Wald | Nurse Practitioner | 10012 Kennerly Rd Ste 405, Saint Louis, MO 63128-2197 | 2006-12-21 |
| 1174607618 | Michelle Erin Burk | Nurse Practitioner | 3844 S Lindbergh Blvd Ste 235, Saint Louis, MO 63127 | 2006-10-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on MRS. ANNA MARIA 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.