JESSICA CLARK (NPI# 1942612296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942612296 |
| Entity Type | Individual |
| Full Name | JESSICA CLARK |
| Credential | BA |
| Practice Address |
620 John Austin Ln Mt Washington KY 40047-6354 |
| Practice Telephone | 5023772686 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690906 | Jessica Clark | Doula | 343 N Main Ave, Gresham, OR 97030-7246 | 2020-02-04 |
| 1962054387 | Jessica Lynn Clark | Nurse Practitioner | 7219 N Litchfield Rd Bldg 11302nd, Luke Air Force Base, AZ 85309-1529 | 2019-07-16 |
| 1568962306 | Jessica Lee Clark | Registered Nurse | 6011 Cielo Rnch, San Antonio, TX 78218-4161 | 2018-02-19 |
| 1811416076 | Jessica Clark | Counselor | 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 | 2017-09-19 |
| 1124572821 | Jessica Clark | Specialist | 5664 Cahuenga Blvd, North Hollywood, CA 91601-2103 | 2016-08-10 |
| 1104286871 | Jessica Clark | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-24 |
| 1154610269 | Jessica Clark | Social Worker | 55 Floyd Ave, Riverside, RI 02915-2927 | 2011-03-30 |
| 1346558780 | Jessica Clark | Dietitian, Registered | 187-191 Main Street, Ste 300, Emmaus, PA 18049-4017 | 2010-09-20 |
| 1760794309 | Jessica Michelle Clark | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2010-07-12 |
| 1740449719 | Jessica Lynn Clark | Dermatology | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2008-06-05 |
| Street Address |
620 JOHN AUSTIN LN |
| City | MT WASHINGTON |
| State | KY |
| Zip Code | 40047-6354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996971 | Robert Alexander Center, LLC | Substance Abuse Rehabilitation Facility | 130 Hope St, Mt Washington, KY 40047 | 2020-09-14 |
| 1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
| 1811527617 | Trilogy Healthcare of Bullitt, LLC | Skilled Nursing Facility | 119 East Sanders Lane, Mt. Washington, KY 40047 | 2020-01-21 |
| 1912441593 | Molly Ernspiker | Pharmacist | 634 North Bardstown Road, Mount Washington, KY 40047 | 2016-12-15 |
| 1285974352 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 330 Hope Street, Mt. Washington, KY 40047 | 2013-02-26 |
| 1457695868 | Anjenean Holt | Speech-Language Pathologist | 310 Boxwood Run Rd, Mt. Washington, KY 40047 | 2012-11-26 |
| 1942581715 | Retina Associates, Psc | Technician/Technologist | 10731 Hwy 44 E, Mt Washington, KY 40047 | 2011-09-07 |
| 1831328608 | Deborah L Hargis | Pharmacist | 634 N Bardstown Rd, Mt Washington, KY 40047 | 2009-07-14 |
| 1720244999 | Jason Rodney Wolford | Chiropractor | 138 Eastbrooke Court, Suite 130, Mt. Washington, KY 40047 | 2008-08-06 |
| 1992820849 | Sunrise Children's Services, Inc. | Counselor | 300 Hope Street, Mt. Washington, KY 40047 | 2007-03-20 |
| Find all providers in zip 40047 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159527 | Audubon Area Community Services, Inc | Case Management | 1700 W 5th St, Owensboro, KY 42301-1952 | 2020-06-23 |
| 1043835739 | Reva Kathleen Bieger | Case Management | 712 Butler St, Carrollton, KY 41008-1354 | 2020-06-09 |
| 1649890021 | Nexus Advocates, LLC | Case Management | 1229 S Shelby St, Louisville, KY 40203-2626 | 2020-04-25 |
| 1033749148 | Amalia Maria Harris | Case Management | 530 Fairview Dr, Paducah, KY 42001-6009 | 2020-01-17 |
| 1720622723 | Stephen Paul Whitaker | Case Management | 1409 Highway 3057, Somerset, KY 42501-3363 | 2019-11-01 |
| 1689221764 | Barnabas Home Inc | Case Management | 95 Campus Drive, Annville, KY 40402 | 2019-08-22 |
| 1861049553 | Kenyatta Tanae Thomas | Case Management | 2211 Storey Ct, Lexington, KY 40515-1903 | 2019-08-19 |
| 1730696741 | Johanna Ailster | Case Management | 221 Ridge Street, South Shore, KY 41175-0260 | 2017-12-29 |
| 1124541230 | Tatyanas Case Management, LLC | Case Management | 908 Dupont Rd # 101, Louisville, KY 40207-4602 | 2017-07-20 |
| 1194248633 | Debbie Dillon LLC | Case Management | 1304 Bobbi Ct, Bowling Green, KY 42103-6500 | 2017-07-17 |
| Find all providers with the same taxonomy | ||||
| City | MT WASHINGTON |
| Zip Code | 40047 |
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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.