KATELYN MARIE CLARK (NPI# 1972165496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972165496 |
Entity Type | Individual |
Full Name | KATELYN MARIE CLARK |
Credential | PA-C |
Practice Address |
10455 Lincoln Hwy Everett PA 15537-7046 |
Mailing Address |
719 Portage Rd Cresson PA 16630-1503 |
Practice Telephone | 8146236161 |
Mailing Telephone | 8145055603 |
Enumeration Date | 2019-07-04 |
Last Update Date | 2019-07-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
OA004978 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA060775 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861093049 | Katelyn E Clark | Counselor | 7431 Fortman Ave, Fountain, CO 80817-1403 | 2020-11-04 |
1831726520 | Katelyn Rose Clark | Hearing Instrument Specialist | 605 E Main St Unit 19, Bay Shore, NY 11706-8505 | 2020-03-24 |
1871148569 | Katelyn Truss Clark | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075 | 2019-08-08 |
1124517222 | Katelyn Marie Clark | Occupational Therapist | 3254 E Midland Rd, Bay City, MI 48706-2835 | 2018-05-03 |
1366732729 | Katelyn Ann Clark | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2011-04-19 |
Street Address |
10455 LINCOLN HWY |
City | EVERETT |
State | PA |
Zip Code | 15537-7046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134112477 | Nicholas A Canuso Jr. | Anesthesiology | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2005-08-23 |
1720606130 | Nicole Paige Clark | Hospitalist | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2020-07-13 |
1942854864 | Taylor Marie Trypus | Physician Assistant | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2019-07-29 |
1770077703 | Curvin Lee Gordon | Physician Assistant | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2018-06-22 |
1447741210 | Caleb C Grimes | Physician Assistant | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2018-05-28 |
1295240695 | Misty Lingenfelter | Nurse Practitioner | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2017-12-06 |
1366991184 | Jessica Musselman | Speech-Language Pathologist | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2016-09-22 |
1437607306 | Alicia Imgrund | Physical Therapy Assistant | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2016-09-20 |
1346691359 | Muzammil Khan | Internal Medicine | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2016-06-30 |
1104298306 | Katelyn Black | Physician Assistant | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2015-10-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497914469 | Peggy V Steinbrunner | Counselor | 16 Water Street, Ste 101, Everett, PA 15537 | 2008-06-05 |
1639274996 | Philip Kucas | Physician Assistant | 227 Hospital Drive, Suite 1, Everett, PA 15537 | 2006-09-13 |
1114029154 | Darryl Keef Warner | Chiropractor | 201 Hospital Dr, Suite 2, Everett, PA 15537 | 2006-09-01 |
1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
1710916556 | Raystown Ambulance Service Inc | Ambulance | 4 East South Street, Everett, WA 15537 | 2006-07-02 |
1821031931 | Stephen E Mccombie | Optometrist | 34 Bedford Square, Everett, PA 15537 | 2006-06-14 |
1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
1780607168 | Elliott Bilofsky Do PC | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
1013930387 | Dana Marie Harris | Physician Assistant | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
1659347847 | George Michael Zubak | Specialist | 300 N Spring St, Everett, PA 15537-1011 | 2006-02-27 |
Find all providers in zip 15537 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407997588 | Stuart M Austin | Physician Assistant | 11001 31st Pl W, Suite 1, Everett, WA 98204-1323 | 2007-02-09 |
1639274996 | Philip Kucas | Physician Assistant | 227 Hospital Drive, Suite 1, Everett, PA 15537 | 2006-09-13 |
1215960372 | Randall C Dickson | Physician Assistant | 1001 North Broadway, Suite A11, Everett, WA 98201 | 2006-07-09 |
1366435943 | John F Matista | Physician Assistant | 1330 Rockefeller Ave, Suite 225, Everett, WA 98201-1684 | 2005-08-29 |
1942854864 | Taylor Marie Trypus | Physician Assistant | 10455 Lincoln Hwy, Everett, PA 15537-7046 | 2019-07-29 |
1952887564 | Brian Thomas Goss | Physician Assistant | 202 Memorial Dr Ste 2, Everett, PA 15537-7057 | 2018-07-17 |
1861940504 | Lindsay Cook Mertz | Physician Assistant | 1330 Rockefeller Ave, Suite 310, Everett, WA 98201-1684 | 2016-09-12 |
1417304650 | Sara Helvestine | Physician Assistant | 2930 Maple St, Everett, WA 98201-3832 | 2016-05-18 |
1962807511 | Amy Y Kim | Physician Assistant | 3927 Rucker Ave, Everett, WA 98201-4833 | 2014-10-24 |
1255732483 | Margarita S Shanks | Physician Assistant | 2205 Broadway, Everett, WA 98201-2321 | 2014-09-08 |
Find all providers in EVERETT |
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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.