JULIE CLARK (NPI# 1104238989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104238989 |
| Entity Type | Individual |
| Full Name | JULIE CLARK |
| Credential | RN |
| Practice Address |
1026 W Abriendo Ave Pueblo CO 81004-1128 |
| Mailing Address |
1304 Chinook Ln Pueblo CO 81001-1851 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7195452746 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN.0108676 | CO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700355468 | Julie Clark | Social Worker | 3733 Spotted Jack Loop N, Billings, MT 59101-6974 | 2018-11-24 |
| 1104328442 | Julie Clark | Physical Therapist | 14929 Sandstone Pl, Grand Haven, MI 49417-7947 | 2018-03-02 |
| 1689918450 | Julie Kaye Clark | Lactation Consultant, Non-RN | 1301 Motter Avenue, Frederick, MD 21701 | 2012-11-19 |
| 1336447663 | Julie Clark | Speech-Language Pathologist | 6276 Plattsburg Rd, South Charleston, OH 45368-8801 | 2011-03-10 |
| 1649577800 | Julie R Clark | Speech-Language Pathologist | 118 N Pearl St, Frewsburg, NY 14738-9514 | 2011-02-23 |
| 1114159555 | Julie J Clark | Nurse Practitioner | 682 Hemlock St Ste 290, Macon, GA 31201-8312 | 2009-08-19 |
| 1073748349 | Julie W. Clark | Dietitian, Registered | 106 W Washington St., Jefferson, IA 50129-1920 | 2009-05-15 |
| 1245372929 | Julie Lynn Clark | Occupational Therapist | 2446 Forest Leaf Pkwy, Wildwood, MO 63011-1847 | 2007-02-12 |
| 1093737439 | Julie Clark | Physician Assistant | 307 North Broadway, Poteau, OK 74953-0689 | 2006-07-24 |
| 1649214131 | Julie Clark | Physician Assistant | 10255 Overland Rd, Boise, ID 83709-1430 | 2006-06-15 |
| Street Address |
1026 W ABRIENDO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528121688 | Angela M O'neal | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2006-12-19 |
| 1336753698 | Family Support Center of Colorado, LLC | Clinic/Center | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-09-03 |
| 1396380994 | Haven Behavioral Outpatient Services of Colorado, LLC | Clinic/Center | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2019-11-07 |
| 1477026623 | Alfredo Fuccilli Jr. | Behavioral Analyst | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2019-01-09 |
| 1124522396 | Alexandra Unwin | Behavior Technician | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2018-03-21 |
| 1013411297 | Nicole Salazar | Behavior Technician | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2018-03-21 |
| 1598269862 | Jason Sandoval | Behavior Technician | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2018-03-21 |
| 1598138406 | Blessing Okorougo | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-11-02 |
| 1043689425 | Katherine Bassett | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-09-16 |
| 1134597354 | Christina Guerrero | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| 1700307337 | Maria C Cardenas | Registered Nurse | 101 W 9th St, Pueblo, CO 81003-4103 | 2017-07-05 |
| 1720498447 | Christen Smith | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2014-05-02 |
| 1588084636 | Susanne Padanyi-gulyas | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2014-04-16 |
| 1851710420 | Leann Hernandez | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2014-04-10 |
| 1346669926 | Rebecca Hearst | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2014-04-10 |
| 1972922557 | Antoinette Galasso | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2014-04-10 |
| 1154747228 | Theresa Kins | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2014-03-12 |
| 1669897120 | Sharon Kay Robinson | Registered Nurse | 1302 E 5th St, Pueblo, CO 81001-3754 | 2014-02-20 |
| 1720402951 | Kerri Eckerson | Registered Nurse | 41 Montebello Rd Ste 200, Pueblo, CO 81001-1366 | 2014-02-07 |
| Find all providers in PUEBLO | ||||
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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.