MEREDITH RENAE CLARK (NPI# 1063735504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063735504 |
| Entity Type | Individual |
| Full Name | MEREDITH RENAE CLARK |
| Credential | APNP |
| Practice Address |
605 Cotton St Winston Salem NC 27101-5080 |
| Mailing Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Practice Telephone | 3367162255 |
| Mailing Telephone | 3367162255 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5010316 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 3999-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
3999 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245624287 | Meredith Clark | Psychiatry & Neurology | 152 West Street, Danbury, CT 06810-6361 | 2015-03-27 |
| 1760091409 | Meredith Clark | Dentist | 7101 Hoff St, Fort Benning, GA 31905-5645 | 2020-07-29 |
| 1124689096 | Meredith Rose Clark | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 238, Aurora, CO 80014-2622 | 2019-06-21 |
| 1124382601 | Meredith Katherine Clark | Optometrist | 920 Revolution St, Havre De Grace, MD 21078-3748 | 2012-06-28 |
| 1710295225 | Meredith Clark | Nurse Practitioner | 8000 Ravines Edge Ct Ste 200, Columbus, OH 43235-5422 | 2010-09-17 |
| 1396051397 | Meredith Hoffman Clark | Occupational Therapist | 127 S Broadway, St Josephs Medical Center, Stein Center 6, Yonkers, NY 10701 | 2010-08-27 |
| 1396853198 | Meredith Clark | Dentist | 2160 Hendersonville Rd, Arden, NC 28704 | 2006-08-29 |
| 1316962715 | Meredith Clark | Specialist/Technologist | 41 Fairpoint Dr Ste B, Gulf Breeze, FL 32561-4380 | 2006-07-13 |
| Street Address |
605 COTTON ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-5080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567175 | Fenny Apondi Okello | Nurse Practitioner | 4254 Paula Dr, Winston Salem, NC 27127-6820 | 2020-04-22 |
| 1659917615 | Mh Medical Services, PC | Nurse Practitioner | 2415 S Stratford Rd Bldg 1, Winston Salem, NC 27103-6225 | 2019-11-25 |
| 1053957118 | Mh Medical Services, PC | Nurse Practitioner | 950 Reynolds Blvd Bldg 611-12, Winston Salem, NC 27105-3450 | 2019-11-25 |
| 1548756547 | Tracy Gaffney | Nurse Practitioner | 4134 Macarthur St, Winston Salem, NC 27107-6124 | 2018-07-03 |
| 1568958692 | Heather Triplett | Nurse Practitioner | Medical Center Blvd Neurosurgery Clinic, Winston Salem, NC 27157-0001 | 2018-07-01 |
| 1619498987 | Yolanda Enrich | Nurse Practitioner | 652 E Monmouth St, Winston Salem, NC 27107-3227 | 2017-06-27 |
| 1316483738 | Julie Shaun Kozel | Nurse Practitioner | 656 E Monmouth St, Winston Salem, NC 27107-3227 | 2017-01-09 |
| 1578923199 | Denise B Westendorf | Nurse Practitioner | 2680 Saint Johns Pl, Winston Salem, NC 27106-3830 | 2016-02-24 |
| 1568890705 | Lourdes C Ramos | Nurse Practitioner | 650 Highland Ave Ste 120, Winston Salem, NC 27101-4304 | 2013-10-25 |
| 1558427997 | Amanda Jane Mcneil | Nurse Practitioner | 1287 Creekshire Way, Winston Salem, NC 27103-3057 | 2006-12-29 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
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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.