MRS. KERRIE LYNNE CLARK (NPI# 1033464383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033464383 |
| Entity Type | Individual |
| Full Name | MRS. KERRIE LYNNE CLARK |
| Credential | MSED |
| Practice Address |
51 3rd St Lindenhurst NY 11757-1324 |
| Practice Telephone | 6319572242 |
| Mailing Telephone | 6319572242 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1825979 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225360662 | Kerrie Clark | Counselor | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 | 2010-02-10 |
| Street Address |
51 3RD ST |
| City | LINDENHURST |
| State | NY |
| Zip Code | 11757-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912540758 | Alfred Michael Quiocho | Massage Therapist | Li Premier Physical and Aquatic Therapy, 155 W Sunrise Highway, Lindenhurst, NY 11757 | 2019-10-24 |
| 1407352081 | Bridget Mary Daly | Counselor | 154 N 4th St, Lindenhurst, NY 11757 | 2018-04-03 |
| 1518478494 | Care Choice LLC | Durable Medical Equipment & Medical Supplies | 654d North Wellwood Ave, Suite 317, Lindenhurst, NY 11757 | 2017-10-18 |
| 1700313574 | Priti Patel Physician P.C. | Internal Medicine | 791 North Wellwood Ave, Lindenhurst, NY 11757 | 2017-05-11 |
| 1619401452 | Erika Hawthorne | Specialist | 538 Broadhollow Road West Suite 202, Melville, NY 11757 | 2017-04-19 |
| 1801333778 | Jessica Eberhardt | Speech-Language Pathologist | 345 Pecan Street, Lindenhurst, NY 11757 | 2017-01-30 |
| 1376994749 | Mayerlin Delossantos | Behavioral Analyst | 81 Paine St., Lindenhurst, NY 11757 | 2016-06-28 |
| 1700231842 | Heather Simonson | Social Worker | 131 South Smith Street, Lindenhurst, NY 11757 | 2016-04-26 |
| 1689039513 | Long Island Pediatric Homecare | Home Health | 389 Thirty Third Street, Lindenhurst, NY 11757 | 2015-12-18 |
| 1689055691 | Jennifer Grogan | Specialist | 352 Charles St, Lindenhurst, NY 11757 | 2015-06-16 |
| Find all providers in zip 11757 | ||||
| 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 |
|---|---|---|---|---|
| 1902388838 | Kristin Anna Mascia | Specialist | 161 Davenport St, Lindenhurst, NY 11757-5317 | 2018-09-06 |
| 1407394752 | Roseanne Buono | Specialist | 776 S 5th St, Lindenhurst, NY 11757-5622 | 2017-02-07 |
| 1821442369 | Dorina Degregorio | Specialist | 258 N 4th St, Lindenhurst, NY 11757-3728 | 2016-04-21 |
| 1447625645 | Katherine Belpanno | Specialist | 209 33rd St, Lindenhurst, NY 11757-3238 | 2015-12-14 |
| 1659757342 | Kerri-ann Legutko | Specialist | 350 Sherbrooke Rd, Lindenhurst, NY 11757-1731 | 2015-08-04 |
| 1689055691 | Jennifer Grogan | Specialist | 352 Charles St, Lindenhurst, NY 11757 | 2015-06-16 |
| 1356743256 | Stephanie Pothos | Specialist | 152 Wyona Ave, Lindenhurst, NY 11757-5939 | 2014-09-23 |
| 1447663828 | Greggory Hronec | Specialist | 1090 N Alleghany Ave, Apartment 7, Lindenhurst, NY 11757-2100 | 2014-06-03 |
| 1679991541 | Leslie Diane Miller | Specialist | 1 E Belle Terre Ave, Lindenhurst, NY 11757-6507 | 2014-03-28 |
| 1518394279 | Laurie Lawson | Specialist | 32 E June St, Lindenhurst, NY 11757-1329 | 2013-09-26 |
| Find all providers in LINDENHURST | ||||
| City | LINDENHURST |
| Zip Code | 11757 |
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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.