VICKI MARIE CLARK (NPI# 1972921468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972921468 |
Entity Type | Individual |
Full Name | VICKI MARIE CLARK |
Credential | RN |
Practice Address |
6071 W Outer Dr Detroit MI 48235-2624 |
Mailing Address |
4680 Hunters Cir W Canton MI 48188-2377 |
Practice Telephone | 3139666050 |
Mailing Telephone | 3139208812 |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
4704212789 | MI | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649415209 | Vicki Lynn Clark | Social Worker | 13111 Westbrook Rd, Brookville, OH 45309-8732 | 2008-12-11 |
1972990349 | Vicki Clark | Specialist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2015-04-23 |
1992145106 | Vicki L. Clark | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-07-02 |
1770603268 | Vicki L Clark | Occupational Therapy Assistant | 36 Clinton St, Concord, NH 03301-2359 | 2007-03-30 |
1184790859 | Vicki Lyne Clark | Counselor | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2006-11-27 |
1215041249 | Vicki Lynn Clark | Social Worker | 601 Highway 6 W, Iowa City, IA 52246-2209 | 2006-08-18 |
1699704114 | Vicki Hugh Clark | Dietitian, Registered | 274 E Chicago St, Coldwater, MI 49036-2041 | 2006-06-30 |
1578539094 | Vicki L Clark | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-02-24 |
1609878800 | Vicki E Clark | Nurse Practitioner | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2005-06-01 |
Street Address |
6071 W OUTER DR |
City | DETROIT |
State | MI |
Zip Code | 48235-2624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205836806 | Select Specialty Hospital - Northwest Detroit Inc | Long Term Care Hospital | 6071 W Outer Dr, 7th Floor, Detroit, MI 48235-2624 | 2005-07-26 |
1356965198 | Anielle Ball | Registered Nurse | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-06-07 |
1427672708 | Nitesh Kumar Byrappa | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-06-03 |
1992327969 | Chandima Jinani Herath Mudiyanselage | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235 | 2020-05-13 |
1790307783 | Patrick Riedy | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-05-12 |
1518589878 | Nnadozie Okoroafor | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-05-09 |
1720609803 | Charmayne Gail Cooley | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-30 |
1841811890 | Noren Din | Internal Medicine | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-30 |
1962023069 | Haseeb Khan | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-29 |
1285255570 | Edward Park | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
Find all providers in zip 48235 |
Taxonomy Code | 163WC0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598381824 | Aida Damaris Morar | Registered Nurse | 5557 Cass Ave, Detroit, MI 48202-3615 | 2020-06-23 |
1679194518 | Bianca Gonzalez | Registered Nurse | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-05-01 |
1336784594 | Hami Karen Chaboya | Registered Nurse | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-11-12 |
1508420597 | Islam Beidoun | Registered Nurse | 2799 W Grand Blvd, Detroit, MI 48202 | 2019-04-25 |
1871026195 | Danielle Rae Gertz | Registered Nurse | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2017-04-04 |
1396147930 | Patrick Joseph Troy | Registered Nurse | 22201 Moross Rd, Ste. 365, Detroit, MI 48236-2169 | 2014-09-25 |
1801178421 | Lisa Renee Beckwith | Registered Nurse | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2011-09-10 |
1124309182 | Mary K. Munley | Registered Nurse | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2011-09-06 |
1548495054 | Darlene Caryn Dereczyk | Registered Nurse | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2009-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689274227 | Damita Ferguson | Registered Nurse | 14441 Northfield Blvd, Oak Park, MI 48237-1522 | 2020-10-30 |
1447868237 | Mohamad Abdul-nabi Cheaito | Registered Nurse | 22445 Heinze St, Dearborn, MI 48128-1323 | 2020-07-17 |
1437774288 | Elizabeth Marie Kirkpatrick | Registered Nurse | 600 Broadway Ave Nw Apt 432, Grand Rapids, MI 49504-7325 | 2020-06-08 |
1538782446 | Jose Ramon Sanchez-carrera | Registered Nurse | 13375 Village Park Dr Apt C4, Southgate, MI 48195-2769 | 2020-05-27 |
1003455981 | Dylan M Meyer | Registered Nurse | 1085 Kentwood St Ne, Grand Rapids, MI 49505-4837 | 2019-12-25 |
1366087140 | Amanda Marlene Oaks | Registered Nurse | 46087 Rhodes Dr, Macomb, MI 48044-4080 | 2019-11-15 |
1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
1396389839 | Adrian Danielle Williams | Registered Nurse | 23759 Stony Creek Dr, Farmington Hills, MI 48336-2231 | 2019-10-28 |
1003479429 | Elena Darby | Registered Nurse | 13994 Susanna Ct, Livonia, MI 48154-4988 | 2019-04-22 |
1841853223 | Tamara Yvette Smith | Registered Nurse | 173 Charles Ln, Pontiac, MI 48341-2928 | 2019-04-21 |
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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.