MS. KATHLEEN MARIE CLARK (NPI# 1083774582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083774582 |
Entity Type | Individual |
Full Name | MS. KATHLEEN MARIE CLARK |
Credential | MSN FNP C |
Practice Address |
1250 Bellflower Blvd Shs Long Beach CA 90840-0201 |
Mailing Address |
3247 Chatwin Ave Shs Long Beach CA 90808 |
Practice Telephone | 5629855146 |
Practice Fax Number | 5629858404 |
Mailing Telephone | 5623546083 |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 16395 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043677446 | Kathleen Clark | Specialist/Technologist | 221 Lynnhaven Dr, North Syracuse, NY 13212-2025 | 2016-01-15 |
1407290364 | Kathleen Mary Clark | Registered Nurse | 2800 Ashland Rd, Columbia, SC 29210-5010 | 2013-04-23 |
1518103886 | Kathleen Anne Clark | Internal Medicine | 5701 Time Square Blvd Ste 220, Amarillo, TX 79119-1178 | 2008-12-16 |
1114176328 | Kathleen Clark Clark | Speech-Language Pathologist | 2675 State Route 28, Thendara, NY 13472-0007 | 2008-09-11 |
1740276906 | Kathleen M. Clark | Social Worker | 3724 Jefferson St, Suite 206, Austin, TX 78731-6221 | 2005-09-23 |
1043204993 | Kathleen M Clark | Chiropractor | 209 Commercial St, Hartland, ME 04943-3710 | 2005-09-07 |
1174515829 | Kathleen A Clark | Physical Therapist | 2700 Keslinger Road, Suite C, Geneva, IL 60134-4645 | 2005-08-18 |
1174182281 | Kathleen A Clark | Nurse Practitioner | 1365 Westgate Center Dr Ste G1, Winston Salem, NC 27103-2980 | 2019-06-12 |
1376013235 | Kathleen Margaret Clark | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-0216 | 2018-12-04 |
1831664416 | Kathleen M Clark | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2018-10-10 |
Street Address |
1250 BELLFLOWER BLVD SHS |
City | LONG BEACH |
State | CA |
Zip Code | 90840-0201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760542252 | Laurel Jean Babcock Gill | Nurse Practitioner | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
1558993147 | Steven Ryan Tran | Physical Therapist | 1250 Bellflower Blvd, Kin-105, Long Beach, CA 90840 | 2020-02-11 |
1790286482 | Justin Caovan | Student in an Organized Health Care Education/Training Program | 1250 Bellflower Blvd, Long Beach, CA 90840 | 2018-02-27 |
1700946209 | Michael Nicholas Carbuto | Family Medicine | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
1962562462 | Patricia Ann Convery | General Practice | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
1780744284 | Evelyn L Lowe | Nurse Practitioner | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
1215097712 | Nancy J Evans | Radiology | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
1750441259 | Rachel Renee Maciel | Nurse Practitioner | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
1164582672 | Fred A Nakamura | General Practice | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
1396805800 | Rodney Tyson | Physician Assistant | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881972719 | Kathleen Elizabeth Hollwig | Marriage & Family Therapist | 101 Mail Street, Suite F, Seal Beach, CA 90840 | 2011-07-26 |
1538377056 | James Edward Koval | Marriage & Family Therapist | Family and Consumer Sciences, Csulb, Long Beach, CA 90840 | 2007-05-18 |
1710047220 | Rosemary Tilmon-kellum | Physician Assistant | 1250 Bellflower Blvd., Student Health Center, Long Beach, CA 90840 | 2006-12-12 |
1295235927 | Ysabel Ehryn Meris | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840 | 2018-02-19 |
1962608604 | Joshua Stone | Specialist/Technologist | 1250 N Bellflower Blvd, Attention Athletic Training, Long Beach, CA 90840 | 2007-06-21 |
1174006787 | Ryan Gray | Physical Therapist | 1250 Bellflower Blvd Kinesiology Building Rm 105, Long Beach, CA 90840-0001 | 2018-09-10 |
1457855421 | Gayle Early | Nurse Practitioner | 1250 Bellflower Blvd School of Nursing, Long Beach, CA 90840-0001 | 2018-03-22 |
1194293472 | Dmitry Foox | Physical Therapist | 1250 N Bellflower Blvd # Et130, Long Beach, CA 90840-0004 | 2018-11-05 |
1639190606 | State of California | Pharmacy | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2006-07-22 |
1184234221 | Meghann Mccall-o'dell | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2020-08-04 |
Find all providers in zip 90840 |
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 |
---|---|---|---|---|
1437700291 | Emily Colorado | Nurse Practitioner | 3810 Albury Ave, Long Beach, CA 90808-2044 | 2019-09-24 |
1356802292 | Sarah Akbar | Nurse Practitioner | 3711 Long Beach Blvd Ste 101b, Long Beach, CA 90807-3300 | 2019-03-25 |
1689132771 | Alicia Naomi Nishioka | Nurse Practitioner | 5950 Brayton Ave, Long Beach, CA 90805-4260 | 2019-03-07 |
1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
1780163188 | Marien Guadalupe Zavala | Nurse Practitioner | 2618 E Adams St, Long Beach, CA 90810-1503 | 2018-08-07 |
1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
1205227089 | Katerina Perez | Nurse Practitioner | 6213 E Seaside Walk # A, Long Beach, CA 90803-5655 | 2015-02-14 |
1720498504 | Alan Jeff Baldrias | Nurse Practitioner | 3300 East South St. # 203, Long Beach, CA 90404 | 2014-05-02 |
1194943431 | Linda Ruth Goldstein | Nurse Practitioner | 206 West Park Ave, Long Beach, NY 11561 | 2007-04-23 |
1760542252 | Laurel Jean Babcock Gill | Nurse Practitioner | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90840 |
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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.