GINA K CLARK (NPI# 1124101332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124101332 |
| Entity Type | Individual |
| Full Name | GINA K CLARK |
| Credential | ARNP |
| Practice Address |
990 Wilkinson Trce Ste 100 Bowling Green KY 42103-3404 |
| Mailing Address |
201 Park St Bowling Green KY 42101-1759 |
| Practice Telephone | 2707814043 |
| Practice Fax Number | 2707814196 |
| Mailing Telephone | 2707802497 |
| Mailing Fax Number | 2707833750 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3003560 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 3560P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265985956 | Gina Maria Clark | Community Health Worker | 8212 Forest Oaks Blvd, Spring Hill, FL 34606-6839 | 2016-07-28 |
| 1871732412 | Gina Marie Clark | Social Worker | 1008 W Avenue J10, Lancaster, CA 93534-4828 | 2009-02-05 |
| 1023151784 | Gina Clark | Counselor | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2007-02-14 |
| 1174912406 | Gina Clark | Nurse Practitioner | 4200 Gardiner View Ave, Louisville, KY 40213-1877 | 2015-01-09 |
| 1891119996 | Gina Clark | Social Worker | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2014-02-10 |
| 1427470558 | Gina Clark | Physical Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2014-01-08 |
| 1790065399 | Gina Clark | Family Medicine | 1505 E Main St, Stigler, OK 74462-2913 | 2011-08-26 |
| 1992020887 | Gina M. Clark | Student in an Organized Health Care Education/Training Program | 275 W Macarthur, Oakland, CA 94611-5641 | 2010-04-02 |
| Street Address |
990 WILKINSON TRCE STE 100 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629151972 | Primecare Medicine Associates | Internal Medicine | 990 Wilkinson Trce Ste 100, Bowling Green, KY 42103-3404 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| 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 |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1710542477 | Amy Andrews Whitler | Nurse Practitioner | 720 2nd Ave Ste 301, Bowling Green, KY 42101-1778 | 2019-05-07 |
| 1568960862 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 825 2nd Ave Ste B2, Bowling Green, KY 42101-1790 | 2018-02-01 |
| 1972012193 | Gale Marie Schlogl | Nurse Practitioner | 8 Bowling Green Town Center Drive, Hannibal Regional Medical Group, Bowling Green, MO 63334 | 2017-09-20 |
| 1629522404 | Np Primary Care Clinical Services | Nurse Practitioner | 1214 Herrington St, Bowling Green, KY 42104-3235 | 2016-08-09 |
| 1548645203 | Alyse M Snider | Nurse Practitioner | 1180 N Main St Ste 5, Bowling Green, OH 43402-4932 | 2015-07-23 |
| 1679607188 | Terry M. Jepson | Nurse Practitioner | 2710 Nashville Rd, Bowling Green, KY 42101-5375 | 2007-03-15 |
| 1609841527 | Paula A Johnson | Nurse Practitioner | 720 2nd Ave Ste 102, Bowling Green, KY 42101-1778 | 2006-02-22 |
| 1619968542 | Daltrey Anne Tyree | Nurse Practitioner | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2005-10-31 |
| 1619577053 | Jessica C Ingram | Nurse Practitioner | 2349 Russellville Rd, Bowling Green, KY 42101-3986 | 2020-10-26 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
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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.