CHARLES NICHOLSON CLARK (NPI# 1013485713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013485713 |
| Entity Type | Individual |
| Full Name | CHARLES NICHOLSON CLARK |
| Credential | FNP |
| Practice Address |
1331 Bandera Hwy Ste 4 Kerrville TX 78028-9535 |
| Mailing Address |
575 Hill Country Dr Ste 101 Kerrville TX 78028-6024 |
| Practice Telephone | 8302587762 |
| Mailing Telephone | 8302587762 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP139709 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1568971653 | Charles E Clark IIi | Counselor | 255 Main Street, St. Clairsville, OH 43950 | 2017-09-21 |
| 1649680406 | Charles Amos Clark | Internal Medicine | Vanderbilt University Dept of Medicine, D-3100, Medical Center North, Nashville, TN 37232 | 2014-05-02 |
| 1124301106 | Charles Malcolm Clark Jr. | Internal Medicine | 2802 Lafayette Road Suite 13, Eagledale Health Center, Indianapolis, IN 46222-2112 | 2011-09-26 |
| 1811290935 | Charles Warren Clark Jr. | Massage Therapist | 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 | 2010-12-11 |
| 1780913640 | Charles S Clark | Physician Assistant | Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 92055-0140 | 2009-12-23 |
| 1083866222 | Charles Larry Clark Jr. | Dentist | 2415 Gillionville Rd, Albany, GA 31707-3022 | 2008-10-21 |
| 1689826984 | Charles John Clark | Pharmacist | 203 So. Daisy, Salmon, ID 83467 | 2008-10-17 |
| 1164642948 | Charles Robert Clark | Family Medicine | 1725 N Sky Glen Path, Hernando, FL 34442-6187 | 2007-04-26 |
| 1093722902 | Charles Kevin Clark | Physical Therapist | 10214 N Tatum Blvd, Suite B-500, Phoenix, AZ 85028-4224 | 2006-08-02 |
| Street Address |
1331 BANDERA HWY STE 4 |
| City | KERRVILLE |
| State | TX |
| Zip Code | 78028-9535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982247201 | Js Clark Holdings LLC | In Home Supportive Care | 1001 Water St Bldg. G, Kerrville, TX 78028 | 2019-10-18 |
| 1265931232 | Nancy Ellen Morris | Nurse Practitioner | 1331 Bandera Hwy Ste. 2, Kerrville, TX 78028 | 2018-02-06 |
| 1396254181 | Ha Huynh | Occupational Therapist | 1213 Water Street, Kerrville, TX 78028 | 2017-09-25 |
| 1518498302 | Kelsey Marie Jones | Chiropractor | 1416 Sidney Baker St, Kerrville, TX 78028 | 2017-03-23 |
| 1710422597 | Tracy L. Flowers | Speech-Language Pathologist | 306 Westey Dr., Ste A, Kerrville, TX 78028 | 2017-01-03 |
| 1104271576 | Laurence Robert Bower IIi | Clinic/Center | 207b Sidney Baker Street S, Kerrville, TX 78028 | 2016-05-04 |
| 1760865505 | Kathryn Figer | Internal Medicine | 551 Hill Country Dr Dept Of, Kerrville, TX 78028 | 2015-06-29 |
| 1992187892 | Caroline Z Garcia | Counselor | 819 Water St Ste 130, Kerrville, TX 78028 | 2015-06-26 |
| 1124405188 | Str8 Smiles Inc | Dentist | 115 Plaza Drive, Apt 5005, Kerrville, TX 78028 | 2015-04-29 |
| 1447655782 | Jesus Ramirez | Counselor | 222 Sidney Baker Suite 435, Kerville, TX 78028 | 2014-10-29 |
| Find all providers in zip 78028 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619597325 | Miriam Backhoff | Nurse Practitioner | 721 Thompson Dr Bldg 577, Kerrville, TX 78028-5154 | 2020-04-22 |
| 1528568441 | Tracy Windlinger | Nurse Practitioner | 1331 Bandera Hwy Ste 3, Kerrville, TX 78028-9535 | 2018-02-16 |
| 1407096837 | Donna Lee Schloss | Nurse Practitioner | 1807 Water Street, Raphael Community Free Clinic, Kerrville, TX 78028 | 2009-02-25 |
| 1457540635 | April L. Patterson | Nurse Practitioner | 136 Oak Way, Kerrville, TX 78028-7078 | 2007-10-23 |
| 1114120680 | Alyson Leigh Redman | Nurse Practitioner | 222 Sidney Baker St S Ste 500, Kerrville, TX 78028 | 2007-06-11 |
| 1164540134 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 222 Sidney Baker S, Suite 208, Kerrville, TX 78028-5994 | 2007-03-27 |
| 1689777948 | Rhonda Maurer | Nurse Practitioner | 3600 Memorial Blvd., Kerrville, TX 78028 | 2006-09-05 |
| 1104876911 | Deborah Sheffield | Nurse Practitioner | 260 Cully Dr, Wound and Hyperbaric Medicine Center, Kerrville, TX 78028-5950 | 2006-05-11 |
| 1295341519 | Maryclare Porter | Nurse Practitioner | 1807 Water St, Kerrville, TX 78028-6023 | 2020-09-22 |
| 1972116341 | Kimberly Hopkins | Nurse Practitioner | 695 Hill Country Dr Ste B, Kerrville, TX 78028-6074 | 2020-08-26 |
| Find all providers in KERRVILLE | ||||
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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.