PAMELA CLARK (NPI# 1003230681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003230681 |
| Entity Type | Individual |
| Full Name | PAMELA CLARK |
| Practice Address |
6400 Uptown Blvd Ne Ste 360w Albuquerque NM 87110-4204 |
| Practice Telephone | 5058559805 |
| Practice Fax Number | 5058489468 |
| Mailing Telephone | 5058559805 |
| Mailing Fax Number | 5058489468 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R-18457 | NM | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487162269 | Pamela Mishay Clark | Behavioral Analyst | 6410 N Flores St, San Antonio, TX 78212-1125 | 2018-01-16 |
| 1609290675 | Pamela Clark | Registered Nurse | 10309 Leicester Dr, Yukon, OK 73099-7811 | 2014-02-12 |
| 1942554910 | Pamela None Clark | Marriage & Family Therapist | 3440 Harrison Blvd., Suite 100, Ogden, UT 84403 | 2012-10-30 |
| 1306967187 | Pamela Dawn Clark | Nurse Practitioner | 540 10th St Ste 140, Floresville, TX 78114-3167 | 2007-04-02 |
| 1306866264 | Pamela Clark | Pathology | Uva Old Medical School, Hospital Drive, Charlottesville, VA 22908-0001 | 2006-07-20 |
| 1730164393 | Pamela Morris Clark | Psychologist | 46 Fletcher Ave, Merrick, NY 11566-2459 | 2005-12-07 |
| 1659374221 | Pamela Clark | Dentist | 2360 County Road 94, Ste 102, Pearland, TX 77584-4884 | 2005-05-27 |
| 1679126791 | Pamela Clark | Home Health | 2519 N Holland Sylvania Rd, Toledo, OH 43615-2720 | 2019-07-17 |
| 1306256920 | Pamela Clark | Pharmacist | 2980 Wilder Rd, Bay City, MI 48706-9213 | 2014-05-05 |
| 1811231830 | Pamela Kay Clark | Nurse Practitioner | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2012-11-15 |
| Street Address |
6400 UPTOWN BLVD NE STE 360W |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376606798 | Albuquerque Public School Board of Education | Local Education Agency (LEA) | 6400 Uptown Blvd Ne, Suite 360w, Albuquerque, NM 87110-4204 | 2006-12-18 |
| 1609422161 | Rowena Fuller | Social Worker | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2019-08-12 |
| 1669027363 | Shiow-ching Hou | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2019-08-08 |
| 1770050643 | Shelley Rivera | Physical Therapist | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-10-30 |
| 1467928499 | Anna Hartman | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-10-17 |
| 1922588375 | Mary Holm | Occupational Therapist | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-08-15 |
| 1336649367 | Jennifer Taylor | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-02-16 |
| 1144720574 | Thomas Panzlau | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-02-12 |
| 1154820645 | Trisha Novak | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-02-09 |
| 1093214637 | Joyce Denoyer | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408695 | Lea Reynolds | Registered Nurse | 5317 2nd St Sw, Albuquerque, NM 87105-0766 | 2020-08-21 |
| 1760015655 | Martha Featherstone | Registered Nurse | 12015 Tivoli Ave Ne Ste B, Albuquerque, NM 87111-5366 | 2020-02-19 |
| 1548815269 | Andrea Romero | Registered Nurse | 400 Edith Blvd Ne, Albuquerque, NM 87102-2510 | 2019-08-08 |
| 1235784083 | Samantha Cabral | Registered Nurse | 2800 Vermejo Park Dr Sw, Albuquerque, NM 87121-7200 | 2019-08-08 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1780164145 | Ara Romero | Registered Nurse | 2700 Mountain Rd Nw, Albuquerque, NM 87104-1716 | 2018-08-15 |
| 1568941383 | Elizabeth Wiggins-brooks | Registered Nurse | 1440 Gatewood Ave Sw, Albuquerque, NM 87105-3717 | 2018-08-13 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1669971339 | Jody Wagner | Registered Nurse | 6400 Uptown Blvd Ne Ste 385, Albuquerque, NM 87110-4202 | 2018-02-07 |
| 1992256770 | Marjane Glazebrook | Registered Nurse | 801 Stephen Moody St Se, Albuquerque, NM 87123-1994 | 2016-10-17 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on PAMELA CLARK.
| 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.