HALEY CLARK (NPI# 1174075931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174075931 |
| Entity Type | Individual |
| Full Name | HALEY CLARK |
| Credential | LAT, ATC |
| Practice Address |
3525 Hull Rd Leslie MI 49251-9576 |
| Mailing Address |
3527 Hull Rd Leslie MI 49251-9576 |
| Practice Telephone | 5179271065 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601002359 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024416 | Haley Clark | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Chicago, IL 60611-2909 | 2020-02-11 |
| 1386295681 | Haley Clark | Counselor | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2019-09-27 |
| 1538716287 | Haley Clark | Case Manager/Care Coordinator | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2019-08-19 |
| 1376103481 | Haley Clark | Behavior Technician | 390 Union Blvd, Suite 300, Lakewood, CO 80228-1510 | 2019-06-20 |
| 1326417023 | Haley Clark | Physician Assistant | 100 Jay St, Stanford, KY 40484-7511 | 2015-09-23 |
| 1598109597 | Haley Routh Clark | Radiology | 5323 Harry Hines Boulevard, Dallas, TX 75390-9257 | 2013-04-20 |
| 1720307200 | Haley Clark | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2010-05-24 |
| 1063745057 | Haley Clark | Counselor | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2009-09-09 |
| Street Address |
3525 HULL RD |
| City | LESLIE |
| State | MI |
| Zip Code | 49251-9576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467599258 | Leslie Dental Associates | Dentist | 159 S Main, Leslie, MI 49251 | 2007-01-31 |
| 1417068628 | Timur Anum Baruti | Family Medicine | 207 E Bellevue, Leslie, MI 49251 | 2006-08-31 |
| 1740481167 | Robert Joseph Mondragon | Dentist | 159 South Main Street, Leslie, MI 49251-2530 | 2007-05-31 |
| 1609885003 | Ltc Leonard LLC | Durable Medical Equipment & Medical Supplies | 826 W Bellevue St, Leslie, MI 49251-9302 | 2006-08-05 |
| 1942829395 | Ltc Leonard LLC | Pharmacy | 826 W Bellevue St, Leslie, MI 49251-9302 | 2020-04-15 |
| 1174679187 | Gary Michael Prieskorn | Pharmacist | 826 W Bellevue St, Leslie, MI 49251-9302 | 2007-01-25 |
| 1316160971 | Leslie Medical Center P C | Clinic/Center | 207 E Bellevue St, Leslie, MI 49251-9373 | 2007-04-11 |
| 1427046481 | Leslie Area Ambulance Service, Inc. | Ambulance | 210 E Bellevue St, Leslie, MI 49251-9373 | 2005-10-12 |
| 1598254088 | Integrated Solutions II LLC | Registered Nurse | 207 E Bellevue St, Leslie, MI 49251-9373 | 2018-05-09 |
| 1740714849 | Total Wellness Urgent Care Pllc | Family Medicine | 207 E Bellevue St, Leslie, MI 49251-9373 | 2017-04-14 |
| Find all providers in zip 49251 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1528667128 | Bethany Lynn York | Specialist/Technologist | 1461 Crest Rd, Gladwin, MI 48624-7606 | 2020-10-23 |
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1427656040 | Travis Zaborowski | Specialist/Technologist | 2412 W 4th Ave, Sault Sainte Marie, MI 49783-1212 | 2020-10-15 |
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1801493697 | Janelle Dorsey | Specialist/Technologist | 24311 Ithaca St, Oak Park, MI 48237-1788 | 2020-10-05 |
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1295342616 | Margaret Ann Gilbeau | Specialist/Technologist | 38051 Metro Villa Dr Unit 114f, Harrison Township, MI 48045-3553 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.