MS. KATHLEEN MARIE CLARK


Address: 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201
Phone: 5629855146

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 16395 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHLEEN CLARK

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

Office Location

Street Address 1250 BELLFLOWER BLVD
SHS
City LONG BEACH
State CA
Zip Code 90840-0201

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City LONG BEACH
Zip Code 90840

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Dataset Information

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.

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