LESLIE CLARK (NPI# 1942766555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942766555 |
| Entity Type | Individual |
| Full Name | LESLIE CLARK |
| Practice Address |
2715 Saint Andrews Loop Ste D Pasco WA 99301-3386 |
| Mailing Address |
Po Box 959 Yakima WA 98907-0959 |
| Practice Telephone | 5095754084 |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN00133997 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801156997 | Leslie Joy Clark | Social Worker | 4830 Lakewood Dr Ste 2, Waco, TX 76710-2969 | 2012-05-22 |
| 1316406218 | Leslie Marice Clark | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2019-03-19 |
| 1538661400 | Leslie B Clark | Physical Therapist | 2901 Ridgelake Drive, Suite 209, Metairie, LA 70002-4922 | 2018-03-06 |
| 1477966695 | Leslie Clark | Dental Hygienist | 2460 Willamette St, Eugene, OR 97405-3169 | 2014-06-05 |
| 1497092704 | Leslie A. Clark | Social Worker | 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 | 2013-01-07 |
| 1255676839 | Leslie Ann Clark | Nurse Practitioner | 10000 W Colonial Dr, Ste 386, Ocoee, FL 34761-3400 | 2012-12-07 |
| 1508112921 | Leslie Clark | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2012-08-03 |
| 1154677011 | Leslie Clark | Physical Therapist | 2744 S 17th St, Wilmington, NC 28412-6606 | 2012-07-30 |
| 1518234327 | Leslie Erin Clark | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2011-11-22 |
| 1467752436 | Leslie Mason Clark | Dietitian, Registered | 472 Klutey Park Plaza Dr, Henderson, KY 42420-3348 | 2010-10-25 |
| Street Address |
2715 SAINT ANDREWS LOOP STE D |
| City | PASCO |
| State | WA |
| Zip Code | 99301-3386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861794760 | Carrie Cristina Etherington | Counselor | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2010-11-27 |
| 1881202448 | Miranda Seal | Peer Specialist | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2020-07-20 |
| 1982229134 | Maria Nunez | Peer Specialist | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2020-06-13 |
| 1013556851 | Lucinda Sanchez | Social Worker | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2019-12-26 |
| 1538648308 | Rochelle Cochrane | Case Manager/Care Coordinator | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2018-08-12 |
| 1437638202 | Mikell Marks | Counselor | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2018-08-12 |
| 1164901021 | Tana Bentley | Counselor | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2018-08-11 |
| 1790262368 | Roxana Claro | Case Manager/Care Coordinator | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2018-07-25 |
| 1932686516 | Viviana Munguia | Case Manager/Care Coordinator | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2018-07-25 |
| 1245722115 | Ana Perez | Counselor | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2018-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1558883157 | Cecilia Carmen Asenjo | Registered Nurse | 715 W Court Street, Pasco, WA 99301 | 2017-07-14 |
| 1528451085 | Felix Ramos | Dentist | 7425 Wrigley Dr Ste 201, Pasco, WA 99301 | 2015-03-09 |
| 1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
| 1649617861 | Thompson.ferguson,steinhart. James.pllc | Dentist | 6525 Burden Blvd, Pasco, WA 99301 | 2013-05-29 |
| 1598008880 | Thompson. Ferguson. Steinhart. James, Pllc | Dentist | 6525 Burden Boulevard, Pasco, WA 99301 | 2013-04-04 |
| 1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
| 1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
| 1740510486 | Columbia Basin College | Dental Hygienist | 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 | 2009-12-31 |
| 1417286386 | Wanda Marie Good | Surgery | 1200 N 14th Ave Ste 255, Pasco, WA 99301 | 2009-12-23 |
| Find all providers in zip 99301 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633833 | Maria Negrete | Registered Nurse | 224 N 7th Ave, Pasco, WA 99301-5411 | 2016-07-13 |
| 1548560840 | Geralyn C Retzel | Registered Nurse | 720 W Court St, Suite 8, Pasco, WA 99301-4178 | 2010-11-02 |
| 1316254931 | Cindy L Holt | Registered Nurse | 720 W Court St, Suite 8, Pasco, WA 99301-4178 | 2010-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848561 | Heidi Lynnette Kangas | Registered Nurse | 1128 Broadway St, Longview, WA 98632-3831 | 2020-10-09 |
| 1184235418 | Afuthal Ndugwa Ssemakula | Registered Nurse | 614 Riverside Dr Apt B103, Wenatchee, WA 98801-6154 | 2020-08-11 |
| 1225671969 | Virginia Hadley | Registered Nurse | 3436 Mary Elder Rd Ne # E&t, Olympia, WA 98506-5050 | 2019-10-25 |
| 1114569464 | Diana Wilcox | Registered Nurse | 2011 Mottman Rd Sw, Tumwater, WA 98512-6218 | 2019-10-08 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1609351717 | Charlotte Gex Morgan | Registered Nurse | 57 W Main St Ste 260, Chehalis, WA 98532-4815 | 2018-09-25 |
| 1821571050 | Kimberlee Susan Long | Registered Nurse | 4104 Puffin Rd, Ferndale, WA 98248-9579 | 2018-09-13 |
| 1235669607 | Bridget Lash | Registered Nurse | 4319 Tyler Way, Anacortes, WA 98221-3215 | 2017-06-18 |
| 1174072623 | Vicki Boothe | Registered Nurse | 26254 Ne Barrett Rd, Kingston, WA 98346-9342 | 2016-09-26 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
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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.