MRS. KIMBERLY ANN CLARK (NPI# 1053591875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053591875 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY ANN CLARK |
Credential | MHR |
Practice Address |
1516 S Boston Ave Suite 100 Tulsa OK 74119-4003 |
Practice Telephone | 9185616000 |
Practice Fax Number | 9185616001 |
Mailing Telephone | 9185616000 |
Mailing Fax Number | 9185616001 |
Enumeration Date | 2007-11-08 |
Last Update Date | 2010-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
OK | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902362452 | Kimberly Michelle Clark | Technician, Other | 2819 Se Brodiaea Ct, Hillsboro, OR 97123-5201 | 2019-02-20 |
1780037994 | Kimberly Clark | Nurse Practitioner | 11251 Westwood Ave, Denham Springs, LA 70726-6947 | 2016-07-22 |
1053651869 | Kimberly Gail Clark | Hearing Instrument Specialist | 401 Apperson Dr, Salem, VA 24153-7026 | 2013-02-15 |
1952660524 | Kimberly Jo Clark | Licensed Practical Nurse | 334 Elmwood Ave, Barberton, OH 44203-1153 | 2012-05-16 |
1336421999 | Kimberly D Clark | Speech-Language Pathologist | 1524 Lexington Road, Clovis, NM 88101-6846 | 2011-09-09 |
1376878595 | Kimberly Clark | Physical Therapist | 101 S Kraemer Blvd Ste 125, Placentia, CA 92870-6100 | 2009-10-06 |
1609050913 | Kimberly Irene Clark | Counselor | 3077 Coolidge Ave, Costa Mesa, CA 92626-2809 | 2007-12-21 |
1841400868 | Kimberly Clark | Social Worker | 4350 Woodland Ave, Jackson, MS 39206-3955 | 2007-05-22 |
1902900293 | Kimberly A Clark | Physical Therapist | 614 Monkton Rd, Bristol, VT 05443-5392 | 2006-09-08 |
1114996931 | Kimberly Sue Clark | Licensed Practical Nurse | 4563 S Ridge Rd E, Geneva, OH 44041-7310 | 2006-03-15 |
Street Address |
1516 S BOSTON AVE SUITE 100 |
City | TULSA |
State | OK |
Zip Code | 74119-4003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396287249 | Leah Hutchings | Social Worker | 1516 S Boston Ave, Suite 1, Tulsa, OK 74119-4003 | 2016-11-09 |
1497107049 | Taylor Michele Wright | Counselor | 1516 S Boston Ave, Tulsa, OK 74119-4003 | 2016-07-07 |
1932507316 | Jayna Ross | Counselor | 1516 S Boston Ave, Tulsa, OK 74119-4003 | 2014-12-16 |
1659787968 | Morgan Richardson | Community/Behavioral Health | 1516 S Boston Ave, Suite 1, Tulsa, OK 74119-4003 | 2014-07-08 |
1609296961 | Amanda Louise Inman | Counselor | 1516 S Boston Ave, Tulsa, OK 74119-4003 | 2014-04-24 |
1730505645 | Christine Wayman | Psychologist | 1516 S Boston Ave, Suite 1, Tulsa, OK 74119-4003 | 2014-03-16 |
1275965808 | Kendall Lin Meek | Counselor | 1516 S Boston Ave, Suite 1, Tulsa, OK 74119-4003 | 2013-08-06 |
1669804332 | Hanadi Agha | Counselor | 1516 S Boston Ave, Tulsa, OK 74119-4003 | 2013-08-05 |
1033551056 | Amy Ellman | Behavioral Analyst | 1516 S Boston Ave, Tulsa, OK 74119-4003 | 2013-07-18 |
1518307420 | Tiffany Paige Blystone | Counselor | 1516 S Boston Ave, Tulsa, OK 74119 | 2013-06-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518413848 | Rashawnda Eshelle Broom | Community Health Worker | 1870 S. Boulder, Tulsa, OK 74119 | 2016-08-28 |
1740736115 | Kendrea Zellers | Counselor | 1516 South Boston Ave, Tulsa, OK 74119 | 2016-08-26 |
1528410297 | Andrea Cheree Walker | Counselor | 1541 Riverside Drive, Tulsa, OK 74119 | 2016-07-06 |
1851712459 | Bennett William Mcralip Jr. | Student in an Organized Health Care Education/Training Program | 1729 S. Baltimore Ave, Tulsa, OK 74119 | 2013-12-27 |
1932459302 | Isaac James Almaguer | Marriage & Family Therapist | 1516 S. Boston Ave, Suite 1, Tulsa, OK 74119 | 2012-09-13 |
1962721266 | Kimberly Dawn See | Counselor | 1516 South Boston Avenue, Tulsa, OK 74119 | 2010-05-26 |
1487879136 | G.thang Khan Kham | Counselor | 616 S.boston Suite #400, Tulsa, OK 74119 | 2007-04-16 |
1114447117 | Alyssa Orcutt | Counselor | 1870 S Boulder Ave, Tulsa, OK 74119 | 2017-06-21 |
1497152615 | Kristine Anne Runfola | Social Worker | 1608 S Elwood Ave, Tulsa, OK 74119 | 2014-12-03 |
1124445028 | Lauren Priester | Counselor | 1421 S Boston Ave, Tulsa, OK 74119 | 2014-03-28 |
Find all providers in zip 74119 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
1053932905 | Suzanne Schneider | Counselor | 1507 E 21st St, Tulsa, OK 74114-1339 | 2020-05-01 |
1396371167 | Amy Lynn Herrold | Counselor | 8211 E Regal Pl, Tulsa, OK 74133-7167 | 2020-03-12 |
1033758453 | Anew Dawn Counseling Services LLC | Counselor | 2227 S Garnett Rd Ste 106, Tulsa, OK 74129-5115 | 2020-01-02 |
1679111231 | Shandeisha N Hay | Counselor | 6131 S Yorktown Ave Apt 1, Tulsa, OK 74136-0936 | 2019-12-13 |
1699320119 | Grace Oluloto | Counselor | 2740 E 41st St N, Tulsa, OK 74110-1432 | 2019-08-02 |
1467005900 | Courtney Gillespie | Counselor | 8810 S Yale Ave Ste K, Tulsa, OK 74137-3551 | 2019-07-23 |
1922660661 | Katherine Marie Nash | Counselor | 5072 S Toledo Ave Apt 23c, Tulsa, OK 74135-3350 | 2019-07-02 |
1205493590 | Wright Choice Counseling Services, LLC | Counselor | 6130 E 32nd St Ste 106, Tulsa, OK 74135-5454 | 2019-05-22 |
Find all providers in TULSA |
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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.