SARAH SHIVERS CLARK (NPI# 1164921854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164921854 |
Entity Type | Individual |
Full Name | SARAH SHIVERS CLARK |
Credential | NP-C |
Practice Address |
1717 N E St Ste 239 Pensacola FL 32501-6390 |
Mailing Address |
3313 Kings Way Pensacola FL 32504-4809 |
Practice Telephone | 8504323467 |
Practice Fax Number | 8504342308 |
Mailing Telephone | 6018424291 |
Enumeration Date | 2018-02-07 |
Last Update Date | 2018-03-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9376525 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
1992356901 | Sarah Ruth Clark | Technician | 1181 Woodworth Rd, Grandview, WA 98930-9769 | 2019-09-23 |
1245887678 | Sarah E Clark | Specialist/Technologist | 1322 Kent St, Sturgis, MI 49091-2334 | 2019-08-21 |
1144881780 | Sarah Clark | Counselor | 9460 N Delaware St, Indianapolis, IN 46240-1044 | 2019-06-25 |
1164910923 | Sarah Clark | Dietitian, Registered | 8100 Ravines Edge Court, Columbus, OH 43235 | 2018-04-27 |
1265931976 | Sarah Clark | Social Worker | 3168 33rd St Apt 4b, Astoria, NY 11106-2418 | 2018-02-08 |
1871045179 | Sarah Clark | Dental Hygienist | 20 Northwood Ct, Wiscasset, ME 04578-4287 | 2016-11-03 |
1720439375 | Sarah Clark | Dietitian, Registered | 9 Forrest St, Mill Valley, CA 94941-2041 | 2016-06-24 |
1831548973 | Sarah Elizabeth Clark | Counselor | 7601 S Redwood Rd Ste E, West Jordan, UT 84084-4007 | 2016-06-09 |
1316337744 | Sarah Kay Clark | Registered Nurse | 1100 Southfield Dr Ste 1210, Plainfield, IN 46168-4499 | 2015-01-23 |
Street Address |
1717 N E ST STE 239 |
City | PENSACOLA |
State | FL |
Zip Code | 32501-6390 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003859794 | Tamberlynn Baker | Nurse Practitioner | 1717 N E St Ste 239, Pensacola, FL 32501 | 2006-06-13 |
1144532383 | Thomas Allen Babcock | Otolaryngology | 1717 N E St Ste 239, Pensacola, FL 32501-6390 | 2010-07-03 |
1447373733 | Chelsey Mckinney Donahue | Audiologist | 1717 N E St Ste 239, Pensacola, FL 32501-6390 | 2007-04-09 |
1700905890 | Marie Josee Helene Viens | Audiologist | 1717 N E St Ste 239, Pensacola, FL 32501-6390 | 2007-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
Find all providers in zip 32501 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
1902411143 | Richard Hutson | Nurse Practitioner | 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 | 2020-09-14 |
1982218202 | Sherri Louise Pucillo | Nurse Practitioner | 1717 N E St Ste 526, Pensacola, FL 32501-6333 | 2020-09-03 |
1740893841 | Krista Ivana Robinson | Nurse Practitioner | 5995 Arch Ave, Pensacola, FL 32526-3232 | 2020-08-28 |
1578173670 | Lalita Combs | Nurse Practitioner | 6013 Patch Ln, Pensacola, FL 32526-9177 | 2020-08-04 |
1053929075 | Cynthia Elaine Garay | Nurse Practitioner | 4270 Langley Ave, Pensacola, FL 32504-8454 | 2020-07-15 |
1083254742 | Brittany Beasley Perez | Nurse Practitioner | 543a Fontaine St Ste A, Pensacola, FL 32503-2018 | 2020-01-10 |
1912540238 | Jeanne Clack Harris | Nurse Practitioner | 3002 E Jackson St, Pensacola, FL 32503-6437 | 2019-10-18 |
1598315608 | Lanora Glaze | Nurse Practitioner | 1645 Elmhurst Rd, Pensacola, FL 32505-1039 | 2019-09-19 |
1710547609 | Stephanie Evans | Nurse Practitioner | 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 | 2019-06-13 |
Find all providers in PENSACOLA |
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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.