MRS. TARA ANNETTE CLARK (NPI# 1013270917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013270917 |
| Entity Type | Individual |
| Full Name | MRS. TARA ANNETTE CLARK |
| Credential | M.S. |
| Practice Address |
24 Libby Ave Hicksville NY 11801-1737 |
| Practice Telephone | 5164954196 |
| Mailing Telephone | 5164954196 |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2012-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1711977 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356731186 | Tara Clark | Community Health Worker | 3030 Grill Rd, New Franklin, OH 44216-9320 | 2015-02-02 |
| 1376853762 | Tara Lynn Clark | Counselor | 3539 Dianna Way, Wenatchee, WA 98801-9142 | 2010-10-19 |
| 1750345245 | Tara A Clark | Family Medicine | 600 Ne Adams Dairy Pkwy, Blue Springs, MO 64014-5493 | 2006-04-13 |
| 1770125114 | Tara Clark | Behavior Technician | 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 | 2019-10-16 |
| 1053971911 | Tara Lowe Clark | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2019-06-13 |
| 1083199269 | Tara Clark | Nurse Practitioner | 600 S Dobson Rd Ste E36, Chandler, AZ 85224-5693 | 2018-10-03 |
| 1720574957 | Tara Clark | Speech-Language Pathologist | 5038 Champions Dr, Lufkin, TX 75901-7346 | 2018-07-11 |
| 1124520986 | Tara Clark | Nurse Practitioner | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303 | 2018-03-07 |
| 1760980783 | Tara M Clark | Speech-Language Pathologist | 3501 Taylor Ave, Nottingham, MD 21236-4406 | 2018-01-24 |
| 1285081299 | Tara Maria Clark | Nurse Practitioner | 380 N Reservation Rd, Porterville, CA 93257-9673 | 2016-05-19 |
| Street Address |
24 LIBBY AVE |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1326534447 | Patrice Green-ewart | Specialist | 28 8th St, Hicksville, NY 11801-5402 | 2018-07-02 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| 1801336565 | Sahar Sherzada | Specialist | 197 Cottage Blvd, Hicksville, NY 11801-5947 | 2017-02-28 |
| 1902356694 | J D Solutions Inc. | Specialist | 29 Woodcrest Rd, Hicksville, NY 11801-6027 | 2016-10-06 |
| 1952776478 | Christine Granger | Specialist | 3 Alan Crest Dr, Hicksville, NY 11801-6401 | 2015-12-09 |
| 1790166809 | Jessica Forster | Specialist | 39 Scooter Ln, Hicksville, NY 11801-6416 | 2015-06-15 |
| 1295157022 | Alexa Louise Sullivan | Specialist | 2 Garden Blvd, Hicksville, NY 11801-5925 | 2014-01-14 |
| 1518390665 | Gilbert B Lim | Specialist | 45 Mcalester Ave, Hicksville, NY 11801-3719 | 2013-08-13 |
| 1851639223 | Marialouise Marcial Quijano | Specialist | 67 Summit St, Hicksville, NY 11801-3357 | 2013-01-19 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
Please comment or provide details below to improve the information on MRS. TARA ANNETTE 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.