TERESA CLARK (NPI# 1144779778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144779778 |
| Entity Type | Individual |
| Full Name | TERESA CLARK |
| Credential | ST |
| Practice Address |
2304 W Gordon Ave Apt 218 Albany GA 31707-4607 |
| Practice Telephone | 2293958561 |
| Mailing Telephone | 2293958561 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750624904 | Teresa Louise Clark | Licensed Vocational Nurse | 2121 E 1st St, 306, Long Beach, CA 90803-2418 | 2013-04-05 |
| 1538373337 | Teresa Clark | Counselor | 721 Bath Rd, Wiscasset, ME 04578-4830 | 2007-05-10 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| 1538194261 | Teresa Elaine Clark | Internal Medicine | 2920 S Pharr Ct Nw, Atlanta, GA 30305-2104 | 2006-07-11 |
| 1407827561 | Teresa Jean Clark | Physical Therapist | 40900 Merchants Lane, Suite 202, Leonardtown, MD 20650 | 2006-01-27 |
| 1962931733 | Teresa Octavia Clark | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2017-06-06 |
| 1235585563 | Teresa A Clark | Nurse Practitioner | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2016-05-05 |
| 1912307109 | Teresa M Clark | Occupational Therapist | 301 Highway 65 S, Mora, MN 55051-1899 | 2014-08-26 |
| 1871853622 | Teresa Sha Clark | Social Worker | 700 Childrens Dr, Clinical Services and Care Coordination, Columbus, OH 43205-2664 | 2012-05-25 |
| 1962701482 | Teresa May Clark | Occupational Therapist | 815 Triplett St, Owensboro, KY 42303-3564 | 2011-03-23 |
| Street Address |
2304 W GORDON AVE APT 218 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670371 | Kenya N Hamilton | Contractor | 2319 Meadow Brook Ln, Albany, GA 31707-2295 | 2020-05-14 |
| 1548895949 | Charlee L James-dailey | Contractor | 1307 Pinehurst Dr, Albany, GA 31707-5027 | 2020-03-05 |
| 1073146437 | Mishondas Shantel Bogans | Contractor | 1400 Owens Ave, Albany, GA 31705-1019 | 2020-02-13 |
| 1013540475 | Quentin Tremain Davis | Contractor | 2907 Winterwood Ave, Albany, GA 31721-4521 | 2020-02-13 |
| 1508401563 | Shamonica Lataya Smith | Contractor | 615 Kingsbury Ln, Albany, GA 31707-4643 | 2019-11-14 |
| 1699310631 | Gloria Jean King | Contractor | 707 Barkley Blvd, Albany, GA 31705-1207 | 2019-11-13 |
| 1275176893 | Ethel Lee Moses | Contractor | 1511 W Gordon Ave, Albany, GA 31707-4843 | 2019-10-26 |
| 1093369787 | Rhoda Elmore Huff | Contractor | 1206 Westwood Dr Apt A, Albany, GA 31721-7326 | 2019-07-31 |
| 1518526466 | Anthony Sylvester | Contractor | 916 Rosedale Ave, Albany, GA 31701-1730 | 2019-06-12 |
| 1275199127 | Daphne Pouncil | Contractor | 112 Courtney Ct Apt B, Albany, GA 31721-6297 | 2019-05-16 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on TERESA CLARK.
| 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.