NICOLE CLARKE (NPI# 1104437326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104437326 |
| Entity Type | Individual |
| Full Name | NICOLE CLARKE |
| Practice Address |
1000 Blythe Blvd Charlotte NC 28203-5812 |
| Mailing Address |
231 Magnolia Ln Gahanna OH 43230-3546 |
| Practice Telephone | 7043812000 |
| Mailing Telephone | 4403829838 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
327317 | NC | Nursing Service Providers |
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
414382 | OH | Nursing Service Providers |
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
5013529 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486259 | Nicole Shari Clarke | Registered Nurse | 185 Arzly Loop, Brooklyn, NY 11239 | 2020-04-23 |
| 1255687828 | Nicole Elaine Clarke | Speech-Language Pathologist | 1814 Fallstaff Ct, Eldersburg, MD 21784-6274 | 2012-08-01 |
| 1679197842 | Nicole Alexis Clarke | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2020-06-03 |
| Street Address |
1000 BLYTHE BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282946 | Shoaib Lateef | Hospitalist | 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 | 2005-06-01 |
| 1588264527 | Elizabeth Lopez | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-10-29 |
| 1164021648 | Daniel Alan Nichols | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-10-26 |
| 1487267878 | Anna Molengraft | Physician Assistant | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-26 |
| 1699388116 | Cassandra L. Barnes | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-25 |
| 1407469927 | Lesley Rummage | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-08-25 |
| 1942819594 | Nigella Siegl | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-29 |
| 1316556319 | Carly E Janusek | Physician Assistant | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-26 |
| 1932717212 | Lauren May Vanderlip | Registered Nurse | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-22 |
| 1174148357 | Lauren Grushkin | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5871 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1003468844 | Samantha Mullis | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2019-07-11 |
| 1194203620 | Erica Diane Klose | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2018-08-06 |
| 1588188981 | Courtney Walton Watson | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2017-07-28 |
| 1801310321 | Lindsey Howe | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2017-07-26 |
| 1306391776 | Colleen Wells | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2016-08-16 |
| 1174981252 | Trisha L. Abernathy | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2016-02-04 |
| 1780076521 | Amanda Huffstetler Spargo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2015-03-03 |
| 1326274713 | Debra Anne Nickerson | Nurse Practitioner | 1001 Blythe Blvd, Suite 200, Charlotte, NC 28203-5866 | 2009-05-31 |
| 1871770651 | Deborah Filkins | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2008-01-24 |
| Find all providers in CHARLOTTE | ||||
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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.