SHELLEY ANN CLARK (NPI# 1023573102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023573102 |
| Entity Type | Individual |
| Full Name | SHELLEY ANN CLARK |
| Credential | RN |
| Practice Address |
1010 E 10th St Tucson AZ 85719-5813 |
| Practice Telephone | 5202256000 |
| Mailing Telephone | 5202256000 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN093985 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730504739 | Shelley Clark | Physical Therapy Assistant | 30529 Three Groves Rd, Alma, MO 64001-8122 | 2014-02-27 |
| 1003196718 | Shelley Clark | Physical Therapist | 2803 Rockridge Ct Apt 5, Missoula, MT 59808-9048 | 2011-08-25 |
| 1497371520 | Shelley Clark | Optometrist | 33 W 42nd St, New York, NY 10036-8005 | 2020-06-24 |
| 1689066367 | Shelley B Clark | Skilled Nursing Facility | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2015-03-04 |
| 1093158925 | Shelley L Clark | Nurse Practitioner | 301 Henry St, North Vernon, IN 47265-1030 | 2013-04-10 |
| 1942551478 | Shelley Clark | Counselor | 750 Morris Rd Se, Center for Recovery and Wellness, Los Lunas, NM 87031-5242 | 2012-09-24 |
| Street Address |
1010 E 10TH ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235111675 | Robin Addell Rudic | Psychologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2005-11-18 |
| 1629681234 | Melissa Marlyn Hernandez | Psychologist | 1010 E 10th St, Tucson, AZ 85719-5896 | 2020-08-25 |
| 1417568361 | Kenneisha Linke | Occupational Therapist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2020-08-13 |
| 1932710829 | Kelsey Nicole De Beer | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5896 | 2020-08-13 |
| 1578174751 | Morgan Ann Kern | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2020-08-12 |
| 1245840339 | Joleen Kuzdas | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2020-08-04 |
| 1548886633 | Saskia Susanne Van Hecke | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2020-06-24 |
| 1114551645 | Kiara Caber Pasaye | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2020-02-24 |
| 1568008134 | Erika Michelle Mcdaniel | Registered Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2019-11-19 |
| 1316582752 | Jovita Wilson | Licensed Vocational Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2019-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812359 | Phillip Wade Bullington | Registered Nurse | 6437 S Woodland Hills Dr, Tucson, AZ 85747-5976 | 2020-08-18 |
| 1558973065 | Yaara Geva Ellis | Registered Nurse | 7112 N Corte Del Anuncio, Tucson, AZ 85718-7333 | 2020-08-18 |
| 1255943775 | Stephanie Marie Ottusch | Registered Nurse | 2709 W Firebrook Rd, Tucson, AZ 85741-5224 | 2020-08-17 |
| 1780296350 | Ashley Reid | Registered Nurse | 4560 N Territory Pl, Tucson, AZ 85750-1885 | 2020-08-17 |
| 1679185151 | Ki Alexandra Slusher | Registered Nurse | 11222 E Chuckwagon Cir, Tucson, AZ 85749-9757 | 2020-08-17 |
| 1386256808 | Antonia Marie Doubrava | Registered Nurse | 4760 N Placita Del Sol, Tucson, AZ 85749-9795 | 2020-08-17 |
| 1285246744 | Yvett Valencia | Registered Nurse | 9449 E Barrudean Hills St, Tucson, AZ 85710-3179 | 2020-08-17 |
| 1700498235 | Sherry Nguyen | Registered Nurse | 1776 S Palo Verde Ave Apt C209, Tucson, AZ 85713-2366 | 2020-08-17 |
| 1194337626 | Lan Phuong Thuy Tran | Registered Nurse | 7759 N Silverbell Rd Apt 10204, Tucson, AZ 85743-8296 | 2020-08-17 |
| 1134746373 | Berenice Lomeli | Registered Nurse | 966 N Contzen Ave, Tucson, AZ 85705-7530 | 2020-07-04 |
| Find all providers in TUCSON | ||||
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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.