SHELBY CLARK (NPI# 1013436518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013436518 |
| Entity Type | Individual |
| Full Name | SHELBY CLARK |
| Practice Address |
400 N Pennsylvania Ave Mangum OK 73554-3034 |
| Practice Telephone | 5807823371 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374700000X | Technician | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043863400 | Shelby Clark | Specialist/Technologist | 4310 Appleby Sand Rd, Nacogdoches, TX 75965-2232 | 2019-07-24 |
| 1598179897 | Shelby Leigh Clark | Social Worker | 1211 N 8th St, Kansas City, KS 66101-2129 | 2014-06-13 |
| 1013540210 | Shelby Lynne Clark | Behavior Technician | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2020-02-15 |
| 1215578539 | Shelby Clark | Behavior Technician | 5900 W Chester Rd Ste C, West Chester, OH 45069-2951 | 2019-10-08 |
| 1982257507 | Shelby Clark | Physician Assistant | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-23 |
| 1942788815 | Shelby Linnette Clark | Massage Therapist | 1307 Violet St Se, Lacey, WA 98503-5710 | 2018-08-02 |
| 1023511409 | Shelby Lee Clark | Occupational Therapist | 205 Nolan Pkwy, Archbold, OH 43502-8404 | 2018-03-13 |
| Street Address |
400 N PENNSYLVANIA AVE |
| City | MANGUM |
| State | OK |
| Zip Code | 73554-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831797 | Tammy Ochoa | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2020-01-30 |
| 1134635956 | Sheena Allmon | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2017-12-15 |
| 1851810352 | Christolia Martinez | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2017-09-15 |
| 1285153783 | Anneliese Rogers | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2017-09-15 |
| 1376090696 | Kara Garrett | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2016-09-02 |
| 1932566312 | Steffany Mealer | Student in an Organized Health Care Education/Training Program | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2016-01-15 |
| 1427420785 | Angela Little | Speech-Language Pathologist | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2015-10-27 |
| 1346364098 | Mangum Public School | Psychologist | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845145 | Traci L Carrier | Licensed Practical Nurse | 115 S Lincoln St., Mangum, OK 73554 | 2019-01-30 |
| 1194295741 | Ez Sleep Solutions, Inc. | Dentist | 230 E. Jefferson, Mangum, OK 73554 | 2018-11-27 |
| 1881122976 | Lexie Noel Turner | Case Manager/Care Coordinator | 115 E Lincoln, Mangum, OK 73554 | 2017-06-01 |
| 1740640648 | Yco Tulsa, Inc. | Clinic/Center | 2100 North Louis Tittle, Suites 122-124 and 147-148, Mangum, OK 73554 | 2016-03-04 |
| 1750748984 | Teryl Pearson | Counselor | 2 Wickersham Dr., New Hope Recovery Center, Mangum, OK 73554 | 2016-01-19 |
| 1437525532 | Kiley Reneah Bachelder | Case Manager/Care Coordinator | 2 Wichersham Drive, Mangum, OK 73554 | 2015-08-12 |
| 1376941732 | Dana Juarez | Marriage & Family Therapist | 2100 N Louis Tittle, Mangum, OK 73554 | 2014-12-16 |
| 1033388509 | Blackhawk Mangum, LLC | Clinic/Center | 118 South Louis Tittle, Mangum, OK 73554 | 2008-02-28 |
| 1104008168 | Blackhawk Mangum LLC | Medicare Defined Swing Bed Unit | One Wickersham Drive, Mangum, OK 73554 | 2007-12-03 |
| 1336356500 | Patrecia Ann Fite | Nurse Practitioner | 2100 North Louis Tittle Ave, Box 1, Mangum, OK 73554 | 2007-05-17 |
| Find all providers in zip 73554 | ||||
| Taxonomy Code | 374700000X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear. |
| Notes: Sources: (1) Rhea, Ott, and Shafritz, The Facts on File Dictionary of Health Care Management, New York: Facts on File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.B. Saunders Company, 1981 and Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1984. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 776. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851810352 | Christolia Martinez | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2017-09-15 |
| 1285153783 | Anneliese Rogers | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084214 | Cathy Kaye Eaton | Technician | 5105 S Irvington Pl, Tulsa, OK 74135-7514 | 2019-07-10 |
| 1669932158 | Robert James Kerlin | Technician | 7328 Nw 115th St, Oklahoma City, OK 73162-2709 | 2019-03-21 |
| 1417455874 | Zhana Lashanti Davis | Technician | 10620 N Council Rd Apt 15, Oklahoma City, OK 73162-4365 | 2018-01-31 |
| 1942667605 | Leana Ledbetter | Technician | 1806 24th Ave Nw, Norman, OK 73069-6392 | 2016-01-26 |
| 1609271386 | David Eaton Harrington | Technician | 1556 E 37th St, Tulsa, OK 74105-3224 | 2014-10-24 |
| 1609277706 | Connie Bush | Technician | 3025 W Oakland St, Broken Arrow, OK 74012-9524 | 2014-09-08 |
| 1124590260 | Celeste Moore | Technician | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2018-12-31 |
| 1386113504 | Meagan Rachelle Fowler | Technician | 1219 K St Nw, Ardmore, OK 73401-1801 | 2018-11-16 |
| 1144795915 | Michele Rene'e Boggs | Technician | 216 S Main St, Hobart, OK 73651-3628 | 2018-10-09 |
| 1366922833 | Jessica Ann Rauser | Technician | 401 E Broadway Ct Ste E, Sand Springs, OK 74063-7931 | 2018-08-15 |
| Find all providers with the same taxonomy | ||||
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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.