SANDRA D CLARK (NPI# 1013568039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013568039 |
Entity Type | Individual |
Full Name | SANDRA D CLARK |
Practice Address |
718 W 14th St Junction City KS 66441-2129 |
Practice Telephone | 7853078875 |
Mailing Telephone | 7853078875 |
Enumeration Date | 2019-09-20 |
Last Update Date | 2019-09-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
1972980001 | Sandra Clark | Counselor | 66950 Ironwood Dr Apt 223, Desert Hot Springs, CA 92240-4401 | 2015-04-27 |
1154750586 | Sandra Clark | Social Worker | 3805 Woodside Dr, Sanford, NC 27332-8110 | 2013-11-06 |
1205142106 | Sandra Denice Clark | Counselor | 5701 N Hills St, Meridian, MS 39307-2903 | 2010-08-30 |
1003141425 | Sandra Ellen Clark | Speech-Language Pathologist | 242 Maple Dr, Shippenville, PA 16254-9022 | 2009-10-03 |
1487890489 | Sandra Marie Clark | Registered Nurse | 312 E 207th St, Bronx, NY 10467-4202 | 2008-12-21 |
1669623708 | Sandra Kay Clark | Behavioral Analyst | 16503 W Mckinley St, Goodyear, AZ 85338-6170 | 2008-10-07 |
1669696019 | Sandra Clark | Social Worker | 534 S Terrace Rd, Chandler, AZ 85226-4626 | 2007-04-13 |
1578692463 | Sandra Clark | Radiologic Technologist | 139 County Road 379, Water Valley, MS 38965-3607 | 2007-03-05 |
1003915414 | Sandra Singleton Clark | Registered Nurse | 157 Paragon Pkwy, Clyde, NC 28721-9463 | 2006-09-22 |
Street Address |
718 W 14TH ST |
City | JUNCTION CITY |
State | KS |
Zip Code | 66441-2129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952914129 | New Leaf Counseling | Social Worker | 929 S Washington St, Junction City, KS 66441 | 2020-08-28 |
1336669217 | Ethan Patrick Koochel | Physical Therapist | 935 E 4th St., Junction City, KS 66441 | 2017-06-22 |
1740712298 | Janet Kim Clark | Counselor | 839 N. Eisenhower Drive, Junction City, KS 66441 | 2017-04-03 |
1528507258 | Mellevore, LLC | Occupational Therapist | 935 E 4th St, Junciton City, KS 66441 | 2017-02-14 |
1407212186 | Kaila Lynne Mrozinski | Speech-Language Pathologist | 104 S Washington St., Junction City, KS 66441 | 2016-01-11 |
1235517822 | Mark Stenstrom | Veterinarian | 106 N Eisenhower Dr, Junction City, KS 66441 | 2015-05-14 |
1750777264 | Irwin Army Community Hospital | Clinic/Center | 623 Southwind Drive, Junction City, KS 66441 | 2015-04-10 |
1538504816 | Cheryl Annette Morgan | Respiratory Therapist, Certified | 1102 St. Marys Road, Junction City, KS 66441 | 2013-05-01 |
1073809604 | Donita M Ryff | Physical Therapy Assistant | 104 S. Washington Ave., Junction City, KS 66441 | 2011-06-22 |
1073834602 | Tessa Gutierrez | Counselor | 929 S Washington St., Junction City, KS 66441 | 2010-06-17 |
Find all providers in zip 66441 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154971034 | Ruth Ellen Miner | Technician | 24680 Butler Rd, Junction City, OR 97448-9541 | 2019-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184231102 | Dorothy Jean Duensing-herrs | Technician | 407 6th St, Linn, KS 66953-9013 | 2020-09-24 |
1871106740 | Stevie Jonae Metts | Technician | 1207 E Del Mar St, Wichita, KS 67216-1535 | 2020-08-28 |
1174166870 | Diane Lorraine Anderson-morris | Technician | 14097 Huntington Ln, Leavenworth, KS 66048-7288 | 2019-10-25 |
1316589641 | Kathleen E Lust | Technician | 3420 Pin Oak Dr, St. George, KS 66535 | 2019-10-08 |
1841841160 | Jo Ann Staley | Technician | 12477 S Ellsworth St, Olathe, KS 66062-4970 | 2019-09-27 |
1871143230 | Barry Oden | Technician | 305 Brown A Ve, Osawatomie, KS 66064 | 2019-09-18 |
1235789561 | Raeann Mae Davidson | Technician | 304 E Washington Ave, Medicine Lodge, KS 67104-1425 | 2019-09-18 |
1144870619 | Diane Delois Taylor | Technician | 3619 Sw Kirklawn Ave, Topeka, KS 66611 | 2019-09-17 |
1598314700 | Teressa Ann Williams | Technician | 24089 J Ter, Wakeeney, KS 67672-2719 | 2019-09-10 |
1841849197 | Bonnie May O'neal | Technician | 614 N Brownthrush Ln, Wichita, KS 67212-3413 | 2019-09-10 |
Find all providers with the same taxonomy |
City | JUNCTION CITY |
Zip Code | 66441 |
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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.