MRS. HEIDI MARIE CLARK


Address: 795 El Camino Real, Palo Alot, CA 94301-2203
Phone: 6508532268

MRS. HEIDI MARIE CLARK (NPI# 1992902282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992902282
Entity Type Individual
Full Name MRS. HEIDI MARIE CLARK
Credential CRNP
Practice Address 795 El Camino Real
Palo Alot
CA 94301-2203
Mailing Address 2350 W. El Camino Real
2nd Floor
Mountain View
CA 94040-6203
Practice Telephone 6508532268
Practice Fax Number 6508534830
Enumeration Date 2007-06-29
Last Update Date 2017-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
544649 CA Physician Assistants & Advanced Practice Nursing Providers
N 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
544649 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers HEIDI CLARK

NPI Name Taxonomy Address Enumeration
1720154701 Heidi Lynn Clark Dietitian, Registered 60 Mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535-1809 2006-11-28
1255321386 Heidi Marie Clark Family Medicine 10 Trieble Dr, Tunkhannock, PA 18657-7054 2005-10-28
1962821041 Heidi Clark Physical Therapist 2455 Union Lake Rd, Commerce Twp, MI 48382-3596 2014-04-15
1649520560 Heidi S Clark Speech-Language Pathologist 1000 E University Ave Dept 3311, Laramie, WY 82071-2001 2012-09-18
1730456427 Heidi Clark Acupuncturist 4530 Sw Hall Blvd, Beaverton, OR 97005-0504 2011-11-23
1154614808 Heidi C. Clark Case Manager/Care Coordinator 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 2011-05-26
1487808028 Heidi Lynn Clark Speech-Language Pathologist 1529 Nye Rd, Lyons, NY 14489-9111 2008-11-10
1740403542 Heidi Ringgenberg Clark Speech-Language Pathologist 11688 Lake Forest Pkwy, Carmel, IN 46033-7208 2007-04-10
1124189196 Heidi Clark Nurse Practitioner 111 Michigan Ave Nw, Washington, DC 20010-2916 2006-12-13

Office Location

Street Address 795 EL CAMINO REAL
City PALO ALOT
State CA
Zip Code 94301-2203

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184256430 Stephen H Smith Marriage & Family Therapist 636 Middlefield Road, Palo Alto, CA 94301 2020-02-05
1992367072 Thomas Mccavitt Interpreter Feinberg Medical Clinic, 825 El Camino Real, Palo Alto, CA 94301 2019-06-28
1598321861 Priyanka Kim Wali, M.d., P.C. Psychiatry & Neurology 470 Ramona Street, Palo Alto, CA 94301 2019-05-13
1942716196 Nancy L Wong Dermatology 970 Palo Alto Ave, Palo Alto, CA 94301 2017-12-26
1245751221 Kurbo Health Health Educator 640 Waverley St, Palo Alto, CA 94301 2017-06-29
1023559085 Michelle Di Montagna Acupuncturist 200 California Avenue, Suite 100, Palo Alto, CA 94301 2017-03-10
1265978175 April Rowe Holman Psychologist 667 Lytton Ave. Ste. 5, Palo Alto, CA 94301 2017-01-17
1174975056 Jeanmarie Barry Cahill Marriage & Family Therapist 555 Middle Field Road, Suite 103 B, Palo Alto, CA 94301 2016-07-05
1700247897 Marie A. Di Pasquale Allergy & Immunology 705 Lincoln Avenue, Palo Alto, CA 94301 2016-03-16
1750780128 Ronces Reyes-pugay Nurse Practitioner 795 Elcamino Real, Level 3 Lee Building, Palo Alto, CA 94301 2014-08-21
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1730714007 Julissa Leonides Caraballo Nurse Practitioner 4044 Promontory St, San Diego, CA 92109-5334 2020-03-07
1194355404 Bethany Leda Donowho Nurse Practitioner 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 2020-01-26
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Competitor

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City PALO ALOT
Zip Code 94301

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Dataset Information

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.

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