SUZANNE CLARK (NPI# 1972051183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972051183 |
| Entity Type | Individual |
| Full Name | SUZANNE CLARK |
| Credential | LPN |
| Practice Address |
109 W Main St Alvordton OH 43501-9763 |
| Practice Telephone | 4199242029 |
| Mailing Telephone | 4199242029 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.129253MIV | OH | Nursing Service Providers |
| N | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013273705 | Suzanne Clark | Audiologist | 1044 Summit Dr, Middletown, OH 45042 | 2012-04-06 |
| 1801344536 | Suzanne Stier Clark | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2016-09-11 |
| 1851644819 | Suzanne Clark | Social Worker | 4408 Delwood Ln, Suite 4, Panama City, FL 32408-7492 | 2012-10-16 |
| 1588836852 | Suzanne Clark | Counselor | 11285 Elkins Rd, D-4, Roswell, GA 30076-1259 | 2008-03-27 |
| 1720262603 | Suzanne Clark | Marriage & Family Therapist | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-12-27 |
| 1184804262 | Suzanne Marie Clark | Massage Therapist | 11314 4th Ave W, Ste 103, Everett, WA 98204-6926 | 2007-11-06 |
| 1235342395 | Suzanne Kozee Clark | Pharmacist | 300 Sw 16th Ave, Gainesville, FL 32601-8540 | 2007-05-07 |
| 1821114067 | Suzanne H Clark | Nurse Practitioner | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-03-21 |
| Street Address |
109 W MAIN ST |
| City | ALVORDTON |
| State | OH |
| Zip Code | 43501-9763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891214086 | Heather Galbraith | Social Worker | 109 W Main St, Alvordton, OH 43501-9763 | 2017-09-19 |
| 1063931251 | Jeffery L Cornhill | Social Worker | 109 W Main St, Alvordton, OH 43501-9763 | 2017-09-19 |
| 1598213456 | Tina Kern | Licensed Practical Nurse | 109 W Main St, Alvordton, OH 43501-9763 | 2016-09-20 |
| 1982151874 | Michelle Reyes | Counselor | 109 W Main St, Alvordton, OH 43501-9763 | 2016-09-08 |
| 1184171027 | Tracy Teigland | Counselor | 109 W Main St, Alvordton, OH 43501-9763 | 2016-09-08 |
| 1548717440 | Doug Stiriz | Counselor | 109 W Main St, Alvordton, OH 43501-9763 | 2016-09-08 |
| 1205383247 | Matthew Grafton | Social Worker | 109 W Main St, Alvordton, OH 43501-9763 | 2016-09-07 |
| 1093772386 | Five County Alcohol/drup Program In | Clinic/Center | 109 W Main St, Alvordton, OH 43501-9763 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033667829 | Crystal Crass | Counselor | 109 E Main St, Aldvorton, OH 43501 | 2016-09-21 |
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598213456 | Tina Kern | Licensed Practical Nurse | 109 W Main St, Alvordton, OH 43501-9763 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841277 | Deja Shepard | Licensed Practical Nurse | 725 Hand Ave, Cincinnati, OH 45232-1736 | 2020-11-06 |
| 1932700309 | Heather Mershon | Licensed Practical Nurse | 1535 E Hickory Grove Rd, Urbana, OH 43078-9475 | 2020-11-03 |
| 1831799774 | Kristina Maria Sorbilli | Licensed Practical Nurse | 709 N Cable Rd Ste A, Lima, OH 45805-1737 | 2020-10-29 |
| 1659971745 | Christina Johanna Ambrose | Licensed Practical Nurse | 3779 Huntmere Ave, Austintown, OH 44515-3144 | 2020-10-28 |
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1205434982 | Elizabeth M Njuangang | Licensed Practical Nurse | 17603 Whitney Rd Apt 108, Strongsville, OH 44136-2447 | 2020-10-14 |
| 1023616117 | Verenda Deon Evans | Licensed Practical Nurse | 180 Brush Rd, Richmond Hts, OH 44143-1128 | 2020-10-12 |
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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.