DEXTER CLARK (NPI# 1972931210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972931210 |
Entity Type | Individual |
Full Name | DEXTER CLARK |
Practice Address |
1900 Genesee St Utica NY 13502-5635 |
Practice Telephone | 3157977050 |
Enumeration Date | 2013-10-24 |
Last Update Date | 2013-10-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 309229 | NY | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265967665 | Dexter D Clark | Family Medicine | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-24 |
Street Address |
1900 GENESEE ST |
City | UTICA |
State | NY |
Zip Code | 13502-5635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093703936 | Jagdish R Kothari | Dentist | 1900 Genesee St, Utica, NY 13502-5635 | 2005-10-13 |
1831558816 | Genesee Rx Inc | Pharmacy | 1900 Genesee St, Utica, NY 13502-5635 | 2016-02-18 |
1811324403 | Christy Insogna-waterman | Registered Nurse | 1900 Genesee St, Utica, NY 13502-5635 | 2013-09-27 |
1053746271 | Heather Helin | Licensed Practical Nurse | 1900 Genesee St, Utica, NY 13502-5635 | 2013-09-06 |
1114359742 | Sally Powell | Licensed Practical Nurse | 1900 Genesee St, Utica, NY 13502-5635 | 2013-08-06 |
1790126043 | Stephanie Howland | Licensed Practical Nurse | 1900 Genesee St, Utica, NY 13502-5635 | 2013-07-16 |
1760823314 | Kims Plantin | Licensed Practical Nurse | 1900 Genesee St, Utica, NY 13502-5635 | 2013-07-11 |
1497196141 | Maryanne Hastings | Licensed Practical Nurse | 1900 Genesee St, Utica, NY 13502-5635 | 2013-07-10 |
1356787543 | John Dorr | Registered Nurse | 1900 Genesee St, Utica, NY 13502-5635 | 2013-05-15 |
1073851671 | Mary Little | Licensed Practical Nurse | 1900 Genesee St, Utica, NY 13502-5635 | 2013-01-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
Find all providers in zip 13502 |
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 |
---|---|---|---|---|
1710533641 | Rachyl Newton | Licensed Practical Nurse | 712 Eleanor Pl, Utica, NY 13501-4144 | 2019-08-15 |
1184287229 | Cindi Marie Baum | Licensed Practical Nurse | 182 Concord Dr, Utica, NY 13502-7644 | 2019-04-15 |
1104333194 | Melissa Marie Laplante | Licensed Practical Nurse | 1505 Conkling Ave, Utica, NY 13501-5117 | 2017-12-29 |
1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
1982138103 | Kayleigh Olsen | Licensed Practical Nurse | 1215 Capital Ave, Utica, NY 13502-3913 | 2017-04-13 |
1295274884 | Sheila Denita Boyd | Licensed Practical Nurse | 505 Mary Street, Utica, NY 13501 | 2017-02-16 |
1144766403 | Cornelia Nicholl Mcguilvory | Licensed Practical Nurse | 1418 Taylor Ave, Utica, NY 13501-4609 | 2017-01-11 |
1932642865 | Daisy Marrero | Licensed Practical Nurse | 810 Eagle St, Utica, NY 13501-4121 | 2016-11-26 |
1225585011 | Jessica Bankert | Licensed Practical Nurse | 2409 Sunset Ave, Utica, NY 13502-5733 | 2016-09-08 |
1255782579 | Aubrey Angus | Licensed Practical Nurse | 4103 Bennington Chapel Rd, Utica, OH 43080-9582 | 2016-06-28 |
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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.