KELLY NOELLE CLARK (NPI# 1124567276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124567276 |
| Entity Type | Individual |
| Full Name | KELLY NOELLE CLARK |
| Other Name | KELLY NOELLE NORTON |
| Credential | FNP |
| Practice Address |
2045 N Franklin St Denver CO 80205-5437 |
| Mailing Address |
2500 S Havana St Aurora CO 80014-1618 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN.0992562-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0992562-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1013474410 | Kelly Patricia Clark | Licensed Practical Nurse | 55 Pine Dr E, Mason, MI 48854-9229 | 2019-02-22 |
| 1013497304 | Kelly Ann Clark | Case Manager/Care Coordinator | 2498 Wenona Dr, Wixom, MI 48393-2199 | 2018-08-16 |
| 1407336720 | Kelly Elizabeth Clark | Physical Medicine & Rehabilitation | 3800 Reservoir Rd., Bles Building, Ground Floor, Department of Pm&r, Washington, DC 20007-2113 | 2018-08-16 |
| 1356747448 | Kelly Clark | Dietitian, Registered | 46 Mallards Cv, Duxbury, MA 02332-3548 | 2014-11-17 |
| 1568883312 | Kelly Clark | Licensed Practical Nurse | 125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 | 2013-12-20 |
| 1306105903 | Kelly Thomas Clark | Speech-Language Pathologist | 3406 Fowler Ct, Missouri City, TX 77459-6366 | 2012-05-16 |
| 1619247509 | Kelly Jane Clark | Pharmacist | 328 Quail Walk Trl, Chapin, SC 29036-9791 | 2012-01-09 |
| 1427350461 | Kelly Darlene Clark | Chiropractor | 2425 Mahan Dr, Tallahassee, FL 32308-2301 | 2010-11-24 |
| 1538479324 | Kelly S Clark | Licensed Vocational Nurse | 15716 W High St # 597, Middlefield, OH 44062-9201 | 2010-10-14 |
| Street Address |
2045 N FRANKLIN ST |
| City | DENVER |
| State | CO |
| Zip Code | 80205-5437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370773 | Mina S Lee | Urology | 2045 N Franklin St, Denver, CO 80205-5437 | 2005-07-20 |
| 1992306427 | Nicole L Maes | Technician/Technologist | 2045 N Franklin St, Denver, CO 80205-5437 | 2020-11-02 |
| 1881208395 | Matthew Westcomb | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2020-09-02 |
| 1861030678 | Valerie Ann Davis | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-12-12 |
| 1417506338 | Laurel Thorburn | Audiologist | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-09-04 |
| 1164084893 | Deanna Dougherty | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-07-02 |
| 1356905772 | Jason Saulo Hermosillo | Specialist/Technologist, Other | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-05-01 |
| 1114485976 | Marissa E Heebner | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-03-11 |
| 1194282913 | Nicole Hoffman | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-02-28 |
| 1114484409 | Daniel Bernard Lockman | Specialist/Technologist, Other | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
| 1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
| 1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
| 1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
| 1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
| 1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
| Find all providers in zip 80205 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884461 | Jenna Dalton Kuhl | Nurse Practitioner | 5 S Pearl St, Denver, CO 80209-2013 | 2020-08-31 |
| 1235747809 | Megan Gottsch | Nurse Practitioner | 1838 E 33rd Ave, Denver, CO 80205-4057 | 2020-07-20 |
| 1649890450 | Remote Health Services, Pllc | Nurse Practitioner | 7892 Lakeview Dr, Denver, NC 28037-8243 | 2020-04-22 |
| 1326694027 | Mary Zody | Nurse Practitioner | 8177 N Meridian Rd, Denver, IN 46926-2328 | 2019-08-18 |
| 1770062234 | Darcy Anna Donaldson | Nurse Practitioner | The Denver Hospice, 501 S. Cherry St. Suite 700, Denver, CO 80246-8022 | 2018-08-07 |
| 1114391034 | Julia Green | Nurse Practitioner | 916 N Lafayette St Apt 1, Denver, CO 80218-3111 | 2015-11-16 |
| 1841676251 | Annie Cawthon | Nurse Practitioner | 1960 N. Ogden St., Suite 110, Denver, CO 80218 | 2015-08-07 |
| 1245505882 | Georgia Louise Grant | Nurse Practitioner | 6900 East 47th Avenue Drive, Suite 100, Denver, CO 80216-3449 | 2012-03-15 |
| 1811261076 | Christina Ramirez Cunningham | Nurse Practitioner | 1055 Clermont St # 6a138, Denver, CO 80220-3808 | 2012-03-05 |
| 1831462928 | Jody Mittiga | Nurse Practitioner | 8354 E Northfield Blvd Ste 3700, Denver, CO 80238-3131 | 2012-02-20 |
| Find all providers in DENVER | ||||
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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.