MS. BRENDA KAY CLARKE (NPI# 1164858767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164858767 |
| Entity Type | Individual |
| Full Name | MS. BRENDA KAY CLARKE |
| Credential | FNP-C |
| Practice Address |
1301 Memorial Dr Bryan TX 77802-5205 |
| Mailing Address |
1500 University Dr E Suite 100 College Station TX 77840-2600 |
| Practice Telephone | 9797314520 |
| Practice Fax Number | 9797314570 |
| Mailing Telephone | 9798461100 |
| Mailing Fax Number | 9792609390 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
240095 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. | 74-1715140 | 01 |
| ST. JOSEPH HEALTH POINT BRYAN - FACILITY NPI | 1497183883 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875890 | Brenda Joy Clarke | Behavioral Analyst | 17335 Pagonia Dr Ste 109, Clermont, FL 34711-6011 | 2017-07-27 |
| 1174592406 | Brenda L Clarke | Home Health Aide | 25 W Main St, West Carrollton, OH 45449-1419 | 2006-03-17 |
| Street Address |
1301 MEMORIAL DR |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003915604 | Robert B Hash | Family Medicine | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2006-09-21 |
| 1386298016 | Dalila Aldrich | Counselor | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2019-07-31 |
| 1699161273 | Surya Jacob | Pediatrics | 1301 Memorial Dr, Bryan, TX 77802 | 2015-04-10 |
| 1497183883 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2013-10-22 |
| 1174851208 | Tomas Garza | Family Medicine | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2009-12-01 |
| 1316190754 | Deepti A Govathoti | Family Medicine | 1301 Memorial Dr, #200, Bryan, TX 77802-5205 | 2008-10-29 |
| 1457504003 | Nanette Reyes Dacumos | Family Medicine | 1301 Memorial Dr, Ste200, Bryan, TX 77802-5205 | 2008-10-28 |
| 1851565360 | Nemat Matthew Dadfar | Emergency Medicine | 1301 Memorial Dr, Suite # 200, Bryan, TX 77802-5205 | 2008-04-15 |
| 1699836700 | Belinda D Yarbrough | Nurse Practitioner | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194291898 | Jaime Hardy | Nurse Practitioner | 5873 Easterling Dr, Bryan, TX 77808-7830 | 2018-10-19 |
| 1659859106 | Shameka Crump | Nurse Practitioner | 3201 University Dr E Ste 280, Bryan, TX 77802-3490 | 2018-08-06 |
| 1063931715 | Laura Lea Pugh | Nurse Practitioner | 2700 E 29th St Ste 235, Bryan, TX 77802-2586 | 2017-09-13 |
| 1184147068 | Danyel Renae Parker | Nurse Practitioner | 201 E High St Ste 2, Bryan, OH 43506-1773 | 2017-07-21 |
| 1154872687 | Rosantina Broom | Nurse Practitioner | 3370 S Texas Ave Ste B, Bryan, TX 77802-3127 | 2016-10-19 |
| 1831648690 | Teresa Dejesus Ramirez | Nurse Practitioner | 1307 Hazel St, Bryan, TX 77803-3633 | 2016-09-22 |
| 1265701841 | Jennifer M Meaders | Nurse Practitioner | 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 | 2011-12-28 |
| 1821377300 | Wendy J Seneff | Nurse Practitioner | 2700 E 29th St Ste 325, Bryan, TX 77802-2588 | 2011-08-15 |
| 1497809719 | Mary Ellen Pate | Nurse Practitioner | 3370 S Texas Ave., Suite G, Bryan, TX 77802-3127 | 2007-01-23 |
| 1568423259 | James Timothy Gray | Nurse Practitioner | 3841 Sagebriar, Bryan, TX 77802-6107 | 2006-03-31 |
| Find all providers in BRYAN | ||||
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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.