KATHERINE CLARK (NPI# 1043678170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043678170 |
| Entity Type | Individual |
| Full Name | KATHERINE CLARK |
| Credential | AGNP-C |
| Practice Address |
940 Golf House Ct E Whitsett NC 27377-9296 |
| Mailing Address |
2004 Otter Creek Dr Whitsett NC 27377-9322 |
| Practice Telephone | 3364499838 |
| Mailing Telephone | 9186911134 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
234589 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345961 | Katherine Elizabeth Clark | Licensed Practical Nurse | 764 Patriot Pkwy Apt 203, Rock Hill, SC 29730-2750 | 2020-01-08 |
| 1770146243 | Katherine T Clark | Pharmacist | 60101 Bodnar Blvd Ste 100, Mishawaka, IN 46544-9328 | 2019-04-19 |
| 1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
| 1104364231 | Katherine Mary Clark | Nurse Anesthetist, Certified Registered | 9205 122nd Ct Ne, Apt A107, Kirkland, WA 98033-5882 | 2017-02-09 |
| 1528207131 | Katherine Clark | Physical Therapist | 1630 Campus Park Dr Ste D, Monroe, NC 28112-5270 | 2009-02-05 |
| 1275791949 | Katherine Diane Clark | Counselor | 400 W Midland Ave, Suite 202, Woodland Park, CO 80863-3144 | 2008-05-29 |
| 1194749978 | Katherine Elizabeth Clark | Dentist | 130 Ben Casey Dr, Suite 105, Fort Mill, SC 29708-6567 | 2006-07-26 |
| 1144289943 | Katherine W Clark | Family Medicine | 1 Paradies Ln, New Paltz, NY 12561-4031 | 2006-03-21 |
| 1548229404 | Katherine Ann Clark | Licensed Practical Nurse | 89 Laundon St, Elyria, OH 44035-6117 | 2006-03-20 |
| 1851918783 | Katherine Clark | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-06-26 |
| Street Address |
940 GOLF HOUSE CT E |
| City | WHITSETT |
| State | NC |
| Zip Code | 27377-9296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144279761 | Marne Ann Tower | Family Medicine | 940 Golf House Ct E, Whitsett, NC 27377-9296 | 2006-05-09 |
| 1710372305 | Jessica Rein Cody | Family Medicine | 940 Golf House Ct E, Whitsett, NC 27377-9296 | 2015-04-01 |
| 1891955373 | Javier Gutierrez | Family Medicine | 940 Golf House Ct E, Whitsett, NC 27377-9296 | 2008-06-10 |
| 1568668531 | Talia Aron | Family Medicine | 940 Golf House Ct E, Whitsett, NC 27377-9296 | 2007-06-26 |
| 1902026859 | Amy Elizabeth Bedsole | Family Medicine | 940 Golf House Ct E, Whitsett, NC 27377-9296 | 2007-04-25 |
| 1376672832 | Spencer Thomas Copland | Family Medicine | 940 Golf House Ct E, Lebauer Healthcare At Stoney Creek, Whitsett, NC 27377-9296 | 2007-03-02 |
| 1366472789 | Karren Lee Patterson | Nurse Practitioner | 940 Golf House Ct E, Court E, Whitsett, NC 27377-9296 | 2006-07-03 |
| 1336199769 | Robert Neal Schaller | Family Medicine | 940 Golf House Ct E, Whitsett, NC 27377-9296 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831468156 | Sara Kirkland Huffman | Social Worker | 6602 Maderia Ct, Whitsett, NC 27377 | 2011-12-14 |
| 1003939117 | Graham Shaw Duncan | Family Medicine | 940 Golf House Rd E, Stoney Creek, NC 27377 | 2007-04-06 |
| 1598858920 | Midtown Pharmacy LLC | Pharmacy | 941 Center Crest Dr Ste A, Whitsett, NC 27377 | 2006-09-30 |
| 1750312112 | Billie-lynn D Bean | Nurse Practitioner | 940 Golf House, Court E, Whitsett, NC 27377 | 2006-07-05 |
| 1316902984 | Richard Ira Letvak | Internal Medicine | 940 Golf House Road, Court E, Whitsett, NC 27377 | 2006-04-18 |
| 1629370481 | Innovative Compounding | Pharmacy | 941 Center Crest Dr, Suite D, Whitsett, NC 27377 | 2010-11-30 |
| 1770987380 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6815 Seattle Slew Pl, Whitsett, NC 27377-6001 | 2014-10-13 |
| 1588966444 | Innovative Compounding LLC | Pharmacy | 941 Center Crest Dr, Suite D, Whitsett, NC 27377-8001 | 2010-11-29 |
| 1891163457 | Back To Basics Healthcare Pllc | Clinic/Center | 941 Center Crest Dr, Ste C, Whitsett, NC 27377-8001 | 2015-09-11 |
| 1679959464 | Angelique Sheets | Nurse Practitioner | 941 Center Crest Dr, Whitsett, NC 27377-8001 | 2015-08-04 |
| Find all providers in zip 27377 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
| 1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
| 1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
| 1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
| 1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
| 1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
| 1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
| 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.