NINA CLARK (NPI# 1134683709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134683709 |
| Entity Type | Individual |
| Full Name | NINA CLARK |
| Practice Address |
915 W Monroe St Ste 200 Jacksonville FL 32204-1177 |
| Mailing Address |
726 Aspen Leaf Dr Ponte Vedra FL 32081-6037 |
| Practice Telephone | 9043842240 |
| Practice Fax Number | 9044862314 |
| Mailing Telephone | 8507486605 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN82973 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508494337 | Nina Karni Clark | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-03-28 |
| 1740741206 | Nina Michelle Clark | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2019-03-27 |
| 1821506619 | Nina Clark | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-01-16 |
| 1891809067 | Nina M. Clark | Internal Medicine | 2160 S 1st Ave, Loyola University Health System Fahey Center Rm 112, Maywood, IL 60153-3328 | 2006-08-17 |
| Street Address |
915 W MONROE ST STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526719 | Melody Alice Perez | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2005-05-27 |
| 1922633494 | Emily Mckinley | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2020-03-05 |
| 1104476464 | Troy Townsend Ellis | Physician Assistant | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2019-09-18 |
| 1609334507 | Lindsey Marie Gilbert | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2019-03-09 |
| 1386120087 | Heidi Diane Brown | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2018-07-16 |
| 1306344601 | Lori Ann Hernandez | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2018-02-01 |
| 1548776875 | Gloria Myriam Dobies | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2017-12-22 |
| 1396272340 | Konstantinos Maniatakis | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2017-05-20 |
| 1245763291 | Michelle Lynn Molenaar | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2017-04-06 |
| 1376074682 | Adam Oneil Smith | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316364813 | Lorraine Mai | Registered Nurse | 2591 Oak St, Jacksonville, FL 32204-4559 | 2014-03-21 |
| 1710223367 | Ashley Mclaughlin Abode | Registered Nurse | 2680 Henderson Dr, Suite 1, Jacksonville, NC 28546 | 2012-12-28 |
| 1245554799 | Diabetico Internacional, Inc. | Registered Nurse | 4651 Salisbury Rd, 4006, Jacksonville, FL 32256-6107 | 2010-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561164 | Mariela Riegger | Registered Nurse | 2725 Scarlet Rd, Winter Park, FL 32792-4328 | 2019-11-03 |
| 1659928844 | Sandra Reiner | Registered Nurse | 7305 N Military Trl Ofc 8a-211, Riviera Beach, FL 33410-7417 | 2019-08-22 |
| 1407323736 | Monica Musiet | Registered Nurse | 14711 Sw 150th St, Miami, FL 33196-2369 | 2018-10-24 |
| 1437677440 | Sharon Lynn Krispinsky | Registered Nurse | 12550 New Brittany Blvd Ste 200, Fort Myers, FL 33907-3655 | 2017-08-30 |
| 1053770420 | Tampa Rx Care LLC | Registered Nurse | 15416 N. Florida Ave, Suite 200, Tampa, FL 33613 | 2016-02-15 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1710352075 | Pinellas Park Drugs LLC | Registered Nurse | 6280 66th St N, Pinellas Park, FL 33781-5026 | 2015-12-11 |
| 1689044141 | New Care Pharmacy LLC | Registered Nurse | 14306 N Dale Mabry Hwy Ste D, Tampa, FL 33618-2052 | 2015-09-28 |
| 1720457740 | Miami Coast Pharmacy LLC | Registered Nurse | 1250 Nw 7th St Unit 101-102, Miami, FL 33125-3744 | 2015-09-21 |
| 1225406200 | Wesley Chapel Rx LLC | Registered Nurse | 2653 Bruce B Downs Blvd Ste 115, Wesley Chapel, FL 33544-9206 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.