KRISTIN MICHELLE CLARK (NPI# 1982252011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982252011 |
| Entity Type | Individual |
| Full Name | KRISTIN MICHELLE CLARK |
| Credential | LPN |
| Practice Address |
997 Saint Paul St Rochester NY 14605-1051 |
| Practice Telephone | 5855458392 |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2019-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 284465 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619391059 | Kristin Clark | Registered Nurse | 1229 S. Wheeling Way, Aurora, CO 80012 | 2014-02-05 |
| 1336466283 | Kristin Dumboski Clark | Dentist | 5401 John F Kennedy Blvd, Suite H, North Little Rock, AR 72116-6756 | 2010-04-30 |
| 1164745980 | Kristin Clark | Acupuncturist | 424 Wayne Road, Rochelle, IL 61068-9063 | 2010-03-08 |
| 1932177508 | Kristin Clark | Family Medicine | 5018 Dorsey Hall Dr, Suite 104, Ellicott City, MD 21042-7855 | 2006-03-09 |
| 1982255790 | Kristin Ann Clark | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2019-09-23 |
| 1285103762 | Kristin C Clark | Radiology Practitioner Assistant | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2018-11-14 |
| 1275993339 | Kristin Tai Clark | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Suite 100, Long Beach, CA 90804 | 2016-03-02 |
| 1174918213 | Kristin Clark | Behavioral Analyst | 6 Strathmore Rd, Natick, MA 01760-2419 | 2015-04-06 |
| 1164764585 | Kristin Elise Clark | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2013-03-24 |
| 1407106032 | Kristin Marie Clark | Specialist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2012-09-11 |
| Street Address |
997 SAINT PAUL ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14605-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639614472 | Catholic Charities of Diocese of Rochester/dba/catholic Family Center | Substance Abuse Rehabilitation Facility | 997 Saint Paul St, Rochester, NY 14605-1051 | 2017-01-04 |
| 1578096343 | Mona Lovett | Licensed Practical Nurse | 997 Saint Paul St, Rochester, NY 14605-1051 | 2017-04-07 |
| 1407388846 | Alena Butler | Social Worker | 997 Saint Paul St, Rochester, NY 14605-1051 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090761 | Community Medical Services, PC | Family Medicine | Community Medical Services, PC, 39 Delevan Street, Rochester, NY 14605 | 2019-12-17 |
| 1578090874 | Saronna Asaunte ' Wilson | Nurse's Aide | 127 First Street Apt. 003, Rochester, NY 14605 | 2017-05-17 |
| 1215296975 | Aletha Ward Bouie | Licensed Practical Nurse | 120 Fifth Street, Rochester, NY 14605 | 2012-05-15 |
| 1598030165 | Batten for You | Home Health | 8 Vetter St., Rochester, NY 14605 | 2012-03-15 |
| 1063781219 | Andrea Silvana Escos | Physical Therapist | 173 Martin Street, Rochester, NY 14605 | 2011-12-16 |
| 1740589571 | Tammy J Beller | Speech-Language Pathologist | 690 St Paul Street Rm 321, Rochester Preschool Parent Program, Rochester, NY 14605 | 2011-03-18 |
| 1942507074 | Natalie Banks Hickman | Registered Nurse | Baden Street Settlement of Rochester, 585 Joseph Avenue, Rochester, NY 14605 | 2011-02-25 |
| 1013226489 | Robin Lynn Hill | Registered Nurse | 62 Sixth St, Rochester, NY 14605 | 2010-10-01 |
| 1154651891 | Taunya Llvertrice Johnson | Registered Nurse | 446 Alexander St, Rochester, NY 14605 | 2009-12-31 |
| 1154515799 | Gloria Jean Keitt I | Licensed Practical Nurse | 14 Weeger Street, Rochester, NY 14605 | 2007-08-28 |
| Find all providers in zip 14605 | ||||
| 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 |
|---|---|---|---|---|
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1992305775 | Sharee Walker | Licensed Practical Nurse | 145 Atlantic Ave, Rochester, NY 14607-1205 | 2020-10-29 |
| 1932708401 | Tatyanna Greene | Licensed Practical Nurse | 160 Calm Lake Cir Apt C, Rochester, NY 14612-2512 | 2020-10-25 |
| 1750989158 | Toni Foster | Licensed Practical Nurse | 72 Melrose St, Rochester, NY 14619-1802 | 2020-10-16 |
| 1861090474 | Jovon C Johnson | Licensed Practical Nurse | 24 Alfie Dr, Rochester, NY 14623-3602 | 2020-10-15 |
| 1124626031 | Heavenlee Joy Henderson | Licensed Practical Nurse | 61 Farleigh Ave, Rochester, NY 14606-2007 | 2020-10-13 |
| 1245838259 | Sherree Daniella Holloway | Licensed Practical Nurse | 156 Normandy Ave, Rochester, NY 14619-1132 | 2020-10-12 |
| 1912505173 | Robin R Graham | Licensed Practical Nurse | 70 Devon Rd, Rochester, NY 14619-2402 | 2020-10-10 |
| 1568060705 | Jasmine Daja Shannay Vick | Licensed Practical Nurse | 619 Arnett Blvd, Rochester, NY 14619-1308 | 2020-10-10 |
| 1790383925 | Nikki Pickett | Licensed Practical Nurse | 118 Hazelwood Ter, Rochester, NY 14609-5133 | 2020-10-10 |
| Find all providers in ROCHESTER | ||||
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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.