CINDERELLA CLARK (NPI# 1942570759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942570759 |
| Entity Type | Individual |
| Full Name | CINDERELLA CLARK |
| Practice Address |
816 N Main St Harrison AR 72601-2915 |
| Practice Telephone | 8702046191 |
| Practice Fax Number | 8702046397 |
| Mailing Telephone | 8702046191 |
| Mailing Fax Number | 8702046397 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
816 N MAIN ST |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255693552 | Christen Dale Demeyer | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-06-12 |
| 1477811180 | Amy Dawn Villines | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-05-01 |
| 1326313974 | Diana Michelle Everly | Day Training/Habilitation Specialist | 816 N Main St, Suite A, Harrison, AR 72601-2915 | 2012-03-15 |
| 1992076004 | Erin Nichole Patton | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-01-20 |
| 1093085805 | Tina Renee Eddings | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-01-10 |
| 1285911768 | Kidworx Academy | Dietitian, Registered | 816 N Main St, Harrison, AR 72601-2915 | 2011-11-10 |
| 1760763932 | Jennifer Lynn Stewart | Licensed Practical Nurse | 816 N Main St, Harrison, AR 72601-2915 | 2011-09-01 |
| 1427336015 | Kidworx Academy | Day Training, Developmentally Disabled Services | 816 N Main St, Harrison, AR 72601-2915 | 2011-07-30 |
| 1629390414 | Med Chi Professionals, LLC | Physical Medicine & Rehabilitation | 816 N Main St, Suite B, Harrison, AR 72601-2915 | 2010-02-19 |
| 1336477603 | Ozark Agility Professionals LLC | Physical Therapist | 816 N Main St, Harrison, AR 72601-2915 | 2009-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306232145 | Takesha Pratt | Day Training/Habilitation Specialist | 6819 Knollcrest Dr, Harrison, TN 37341-9470 | 2015-04-08 |
| 1205186251 | Regina Sue O'brien | Day Training/Habilitation Specialist | 808 Highway 62 65 S, Harrison, AR 72601-4048 | 2012-09-18 |
| 1861759995 | Christy Nicole Conner | Day Training/Habilitation Specialist | 816 A Main St, Harrison, AR 72601 | 2012-04-13 |
| 1225389539 | Dulcinea Marie Lane-rogers | Day Training/Habilitation Specialist | 808 Highway 62 65 S, Harrison, AR 72601-4048 | 2012-09-26 |
| 1255693552 | Christen Dale Demeyer | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-06-12 |
| 1477811180 | Amy Dawn Villines | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-05-01 |
| 1326313974 | Diana Michelle Everly | Day Training/Habilitation Specialist | 816 N Main St, Suite A, Harrison, AR 72601-2915 | 2012-03-15 |
| 1992076004 | Erin Nichole Patton | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-01-20 |
| 1093085805 | Tina Renee Eddings | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375796 | Diana L Beck | Day Training/Habilitation Specialist | 1008 W Childress St, Morrilton, AR 72110-1708 | 2020-01-24 |
| 1538677869 | Regina Sloan | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1194230169 | Amanda Morgan | Day Training/Habilitation Specialist | 272 School Ave, West Fork, AR 72774-3124 | 2017-12-12 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1871016923 | Emily A Huddleston | Day Training/Habilitation Specialist | 1801 N Buerkle St, Stuttgart, AR 72160-2519 | 2017-07-20 |
| 1255866604 | Race Cunningham | Day Training/Habilitation Specialist | 2871 American St, Springdale, AR 72764-6938 | 2017-04-24 |
| 1619417896 | Amy Pinkston | Day Training/Habilitation Specialist | 149 Old Trestle Ln, Batesville, AR 72501-9597 | 2017-03-07 |
| 1891155719 | Karen Hartsfield | Day Training/Habilitation Specialist | 524 Self Ln, Newark, AR 72562-9615 | 2016-03-04 |
| 1821458738 | Sarah Sexton | Day Training/Habilitation Specialist | 1334 Red Deer Trl, Salem, AR 72576-5510 | 2016-03-04 |
| 1063885002 | Jaime Smith | Day Training/Habilitation Specialist | 56 Buck Ln, Poughkeepsie, AR 72569-9150 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CINDERELLA 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.