CAITLIN E CLARK


Address: 9100 W 74th St, Shawnee Mission, KS 66204-4004
Phone: 9136322230

CAITLIN E CLARK (NPI# 1093285017) 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) 1093285017
Entity Type Individual
Full Name CAITLIN E CLARK
Other Name CAITLIN E GARDNER
Credential CRNA
Practice Address 9100 W 74th St
Shawnee Mission
KS 66204-4004
Mailing Address Po Box 411895
Kansas City
MO 64141-1895
Practice Telephone 9136322230
Practice Fax Number 9136322297
Mailing Telephone 9136474100
Mailing Fax Number 9132582509
Enumeration Date 2018-12-03
Last Update Date 2019-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 119760 KS Nursing Service Providers
Y 367500000X Nurse Anesthetist, Certified Registered 557656 KS Physician Assistants & Advanced Practice Nursing Providers

Other Providers CAITLIN CLARK

NPI Name Taxonomy Address Enumeration
1659858249 Caitlin Mallory Clark Psychologist Michael E. Debakey Va Medical Center, 2002 Holcombe Blvd, Houston, TX 77030 2018-07-26
1649791005 Caitlin Moriah Clark Physical Therapist 1995 N Park Pl Se Ste 410, Atlanta, GA 30339-2072 2017-07-06
1164870580 Caitlin Clark Case Manager/Care Coordinator 2878 N Gregg Ave, Apt 6, Fayetteville, AR 72703-5556 2016-05-26
1821401183 Caitlin Elizabeth Clark Speech-Language Pathologist 9109 Cub Trl, Raleigh, NC 27615 2014-06-04
1447865894 Caitlin Clark Social Worker 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-09-12
1679101539 Caitlin Marie Clark Student in an Organized Health Care Education/Training Program 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2020-03-27
1760018279 Caitlin Clark Social Worker 4c North Ave Ste 423, Bel Air, MD 21014-2334 2020-03-16
1992288807 Caitlin Alysse Clark Pharmacist 700 Childrens Dr, Columbus, OH 43205-2639 2018-09-07
1699255570 Caitlin Jade Clark Physical Therapy Assistant 225 E Ward St, Goliad, TX 77963-4006 2018-08-20
1689117533 Caitlin Clark Music Therapist 3013 Sunset Ln, Schenectady, NY 12303-5515 2016-11-27

Office Location

Street Address 9100 W 74TH ST
City SHAWNEE MISSION
State KS
Zip Code 66204-4004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386641702 Gregory Jan Strohs Pharmacist 9100 W 74th St, Shawnee Mission, KS 66204-4004 2005-06-30
1235767229 Sarah-grace Miller Hamm Registered Nurse 9100 W 74th St, Shawnee Mission, KS 66204-4004 2020-03-27
1174159362 Lindsey Ann Bagby Registered Nurse 9100 W 74th St, Shawnee Mission, KS 66204-4004 2020-03-19
1285260570 Kathleen Ann Henderson Clinical Nurse Specialist 9100 W 74th St, Shawnee Mission, KS 66204-4004 2020-03-18
1295368140 Alex M Whitehill Registered Nurse 9100 W 74th St, Shawnee Mission, KS 66204-4004 2020-02-19
1467085993 Rogelio Alfonso Morin Specialist/Technologist, Other 9100 W 74th St, Shawnee Mission, KS 66204-4004 2020-02-12
1891326641 Christopher J White Registered Nurse 9100 W 74th St, Shawnee Mission, KS 66204-4004 2020-01-30
1750947271 Patrick J Patterson Registered Nurse 9100 W 74th St, Shawnee Mission, KS 66204-4004 2019-05-10
1164985461 Ashley M Kane Registered Nurse 9100 W 74th St, Shawnee Mission, KS 66204-4004 2019-04-12
1174085765 Rachel M Meredith Registered Nurse 9100 W 74th St, Shawnee Mission, KS 66204-4004 2019-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326652405 Avenue 81 Iaop Assisted Living Facility 8055 Metcalf Ave, Overland Park, KS 66204 2020-09-04
1487160255 Femme Focus, L.L.C. Clinic/Center 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 2017-12-15
1427577469 Linda Kay Mufich-knopp Physical Therapist Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 2017-09-11
1700304789 Kalli Dee Karmann Occupational Therapy Assistant 6814 W 72nd St, Overland Park, KS 66204 2017-08-30
1164951786 Daniel Collins Physical Therapist 10000 W. 75th St. Ste. 250, Merriam, KS 66204 2017-06-07
1942686530 Anna Katheryn Grantham Speech-Language Pathologist 10000 W. 75th St., Suite 250, Merriam, KS 66204 2015-08-05
1700262680 Maple Hills Healthcare, Inc. Skilled Nursing Facility 7600 Antioch Rd, Overland Park, KS 66204 2015-08-03
1104211085 John Brainard Pediatrics 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 2015-03-30
1477941318 Shelley Watts Occupational Therapy Assistant 6712 W 72nd Street, Overland Park, KS 66204 2014-12-30
1578963369 James Aaron Mitchum Counselor 7923 Santa Fe Dr, Overland Park, KS 66204 2014-08-28
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285046045 Stephanie A. Klamm Nurse Anesthetist, Certified Registered 9100 W 74th St, Shawnee Mission, KS 66204-4004 2014-05-28
1083700462 Lisa A Noyes Nurse Anesthetist, Certified Registered 9100 W 74th St, Shawnee Mission, KS 66204-4004 2006-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952914277 Steel Anesthesia Services Pa Nurse Anesthetist, Certified Registered 411 N Campus Dr, Garden City, KS 67846-6195 2020-08-26
1821637398 Kari Anne Nunn Nurse Anesthetist, Certified Registered Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 2020-01-02
1700431228 Kari Kreger Nurse Anesthetist, Certified Registered 508 Douglas St, Jetmore, KS 67854 2019-08-02
1821509753 Kolton Levi Tanner Alexander Nurse Anesthetist, Certified Registered Rooks County Heath Center 1210 N Washington, Plainville, KS 67663 2017-10-18
1245740018 Kansas Endoscopy LLC Nurse Anesthetist, Certified Registered 3121 N Webb Rd Ste 107, Wichita, KS 67226-8119 2017-10-06
1922520725 Landmark Anesthesia of Kansas LLC Nurse Anesthetist, Certified Registered 6650 W 110th St # 300, Overland Park, KS 66211-1501 2017-07-13
1033648340 Alexis Zecy Nurse Anesthetist, Certified Registered 10203 Bond St, Overland Park, KS 66214-2724 2017-06-08
1386183481 Melissa Albers Nurse Anesthetist, Certified Registered 412 N Mulberry Ct, Gardner, KS 66030-1723 2017-02-22
1700334067 Superior Anesthesia Nurse Anesthetist, Certified Registered 2913 Yaeger Dr, Winfield, KS 67156-8533 2016-09-15
1518316744 Bree Howard Nurse Anesthetist, Certified Registered 2101 Tomahawk Rd, Mission Hills, KS 66208-1950 2016-06-08
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Competitor

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City SHAWNEE MISSION
Zip Code 66204

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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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