JACQUELINE CLARK (NPI# 1982175493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982175493 |
| Entity Type | Individual |
| Full Name | JACQUELINE CLARK |
| Practice Address |
888 Terrace St Muskegon MI 49440-1220 |
| Mailing Address |
730 Ruddiman Dr North Muskegon MI 49445-2867 |
| Practice Telephone | 2316724663 |
| Mailing Telephone | 2317446805 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201001665 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720594955 | Jacqueline Clark | Behavior Technician | 10530 Warwick Ave Ste C2, Fairfax, VA 22030-3132 | 2017-12-26 |
| 1336552629 | Jacqueline Clark | Specialist/Technologist | 550 Huntington Ave, Boston, MA 02115-5901 | 2014-06-04 |
| 1497015762 | Jacqueline Clark | Counselor | 923 Powell Ave Sw, Suite 100, Renton, WA 98057-2941 | 2012-05-21 |
| 1407008287 | Jacqueline Ruth Clark | Licensed Practical Nurse | 26308 Crocker Rd, Columbia Station, OH 44028-9301 | 2008-10-13 |
| 1902424161 | Jacqueline E Clark | Advanced Practice Midwife | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2020-07-13 |
| 1205456795 | Jacqueline Clark | Behavior Technician | 182 El Dorado St, Monterey, CA 93940-3118 | 2020-04-24 |
| 1194244749 | Jacqueline Ann Clark | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2017-09-14 |
| 1215452958 | Jacqueline Clark | Physical Therapist | 546 E Sandy Lake Rd Ste 110, Coppell, TX 75019-5787 | 2017-08-03 |
| 1245578343 | Jacqueline Anne Clark | Counselor | 2845 Bell St, Zanesville, OH 43701-1720 | 2013-01-24 |
| 1013255611 | Jacqueline Marie Clark | Registered Nurse | 700 19th St S, Birmingham, AL 35233-1927 | 2013-01-17 |
| Street Address |
888 TERRACE ST |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49440-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164404950 | Hackley Visiting Nurse Services and Hospice Inc | Home Health | 888 Terrace St, Muskegon, MI 49440-1220 | 2005-11-17 |
| 1891321352 | Muskegon Pediatrics, Plc | Pediatrics | 888 Terrace St, Muskegon, MI 49440-1220 | 2020-03-17 |
| 1457815995 | Lisa Zuidema | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2019-01-29 |
| 1740751114 | Bradley Swift | Physical Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2018-12-11 |
| 1457822967 | Sara Laura Parylak | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2018-12-10 |
| 1669943270 | Kellie Sapp | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2018-12-07 |
| 1386113074 | Michelle W Ciccantelli | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2018-11-26 |
| 1346719515 | Jordan Ipema | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440 | 2018-11-17 |
| 1144799578 | Samantha Long | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2018-11-14 |
| 1407324023 | Heather Lee Force | Physical Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122592 | Latanya Taunnette Wheeler | Social Worker | 200 Viridian Drive, Muskegon, MI 49440 | 2019-03-08 |
| 1568932101 | Stephani Danielle Jannenga | Community Health Worker | 565 W. Western Ave., Muskegon, MI 49440 | 2018-11-27 |
| 1891180063 | Matthew R Monahan-reed | Counselor | 715 Terrace St Ste 201, Muskegon, MI 49440 | 2015-04-03 |
| 1477965242 | Krista Israel | Nurse Anesthetist, Certified Registered | 550 West Western Ave Ste B, Muskegon, MI 49440 | 2014-05-28 |
| 1285917997 | Matthew Thatcher | Counselor | 333 W Western Ave Ste 5, Muskegon, MI 49440 | 2011-09-20 |
| 1366657744 | Aegin Place of West Michigan | Counselor | 333 W. Western Ave Ste 209, Muskegon, MI 49440 | 2007-05-11 |
| 1336365055 | Raymond Jay Hilt | Dentist | 1065 Fourth St, Muskegon, MI 49440 | 2007-04-18 |
| 1851434906 | Michael Patrick Foster Sr. | Anesthesiology | 550 W. Western Ave, Suite B, Muskegon, MI 49440 | 2007-02-15 |
| 1942212667 | Joseph J Marous IIi | Radiology | 605 W Western Ave, Muskegon, MI 49440 | 2006-08-12 |
| 1417993098 | David M Gundersen | Optometrist | 442 W Western Ave, Muskegon, MI 49440 | 2006-06-21 |
| Find all providers in zip 49440 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315214 | Julie Sue Shafer | Occupational Therapist | 991 W Giles Rd, Muskegon, MI 49445-1329 | 2020-04-26 |
| 1366998007 | Amy Maloley | Occupational Therapist | 1316 Mercy Drive, Muskegon, MI 49444-8735 | 2016-09-01 |
| 1497078026 | Sherry Euscher | Occupational Therapist | 945 E. Sherman Blvd, Muskegon, MI 49444-1805 | 2010-03-10 |
| 1124250170 | Christy Marie Wertz | Occupational Therapist | 1080 E. Sternberg Rd, Muskegon, MI 49444 | 2009-08-10 |
| 1902002298 | Kelly Rene Bousson | Occupational Therapist | 1080 E Sternberg Rd, Muskegon, Muskegon, MI 49444-8796 | 2007-06-22 |
| 1932167129 | Patricia Benton | Occupational Therapist | 1061 W Hackley Ave, Muskegon, MI 49441-3059 | 2006-05-04 |
| 1780140913 | Michelle Lynne Gravlin | Occupational Therapist | 1380 E Sherman Blvd, Muskegon, MI 49444-1814 | 2019-02-12 |
| 1457815995 | Lisa Zuidema | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2019-01-29 |
| 1528522604 | Aubrey Aubrey | Occupational Therapist | 1061 W Hackley Ave, Muskegon, MI 49441-3059 | 2019-01-23 |
| 1457822967 | Sara Laura Parylak | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2018-12-10 |
| Find all providers in MUSKEGON | ||||
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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.