MS. JOAN CARMACK CLARK (NPI# 1174696082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174696082 |
| Entity Type | Individual |
| Full Name | MS. JOAN CARMACK CLARK |
| Credential | NP |
| Practice Address |
2071 Herndon Ave Clovis CA 93611-6101 |
| Mailing Address |
2598 Hanson Ave Clovis CA 93611-5016 |
| Practice Telephone | 5593245556 |
| Practice Fax Number | 5593245571 |
| Mailing Telephone | 5592912135 |
| Mailing Fax Number | 5593245571 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
466506 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186209 | Joan Leslie Clark | Speech-Language Pathologist | 3898 Via Poinciana Ste 17, Lake Worth, FL 33467-2951 | 2018-12-28 |
| 1174776694 | Joan Macfarlane Clark | Social Worker | 607 Oak Ridge Dr, Boerne, TX 78006-8229 | 2008-10-28 |
| 1952476038 | Joan H Clark | Registered Nurse | Pds 1725 W 17th St, Santa Ana, CA 92706 | 2006-11-22 |
| 1710969498 | Joan Marie Clark | Nurse Practitioner | 6400 Clayton Rd Ste 302, Saint Louis, MO 63117-1850 | 2005-11-17 |
| 1790786176 | Joan M Clark | Physical Therapist | 285 Jefferson Dr W, Palmyra, VA 22963-2404 | 2005-08-09 |
| 1801379532 | Joan Clark | Speech-Language Pathologist | 3427 Chapel Rd, Hamilton, OH 45013-9292 | 2018-09-10 |
| 1013221639 | Joan Carol Clark | Speech-Language Pathologist | 3207 Rosemont Dr, Chattanooga, TN 37411-4219 | 2010-08-06 |
| 1336468263 | Joan Gary Clark | Counselor | 100 Se Whitener Rd, Shelton, WA 98584-7747 | 2010-05-17 |
| 1801936919 | Joan Kay Clark | Specialist/Technologist | 1095 Pingree Rd, Suite 119, Crystal Lake, IL 60014-1725 | 2007-02-07 |
| 1548316748 | Joan Kutner Clark | Social Worker | 223 Maison Dr Unit 28, Suite A-1, Myrtle Beach, SC 29572-5170 | 2007-01-28 |
| Street Address |
2071 HERNDON AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194701250 | Vinaya Murthy | Genetic Counselor, MS | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2005-12-21 |
| 1881125193 | Tram Nguyen | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-27 |
| 1730610643 | Woon Inouye | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-22 |
| 1457882409 | Debbie Flint | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-22 |
| 1275064339 | Diana Blumberg | Pharmacist | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2017-03-21 |
| 1538617170 | Rachel Graziani | Genetic Counselor, MS | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2016-09-12 |
| 1134421704 | Kelly Ayala | Obstetrics & Gynecology | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2010-12-02 |
| 1407035108 | Jennifer Irene Bague | Social Worker | 2071 Herndon Ave, Clovis, CA 93611-6101 | 2007-10-30 |
| 1194920413 | James Dale Massa Jr. | Genetic Counselor, MS | 2071 Herndon Ave, Attn Genetics Dpt, Clovis, CA 93611-6101 | 2007-06-18 |
| 1710014378 | Judith Lynn Meadows | Dietitian, Registered | 2071 Herndon Ave, Clovis, CA 93611 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059586 | Dianne Mae Acuna Benigno | Nurse Practitioner | 2117 Chennault Ave, Clovis, CA 93611-6888 | 2020-09-30 |
| 1376157776 | Natalie Davis | Nurse Practitioner | 1160 Prescott Ave, Clovis, CA 93619-7541 | 2020-09-02 |
| 1891309654 | Nancy Ann Burchfiel | Nurse Practitioner | 26310 Redhawk Ln, Clovis, CA 93619-9726 | 2020-08-31 |
| 1609415140 | Shang Knesek | Nurse Practitioner | 2083 Everglade Ave, Clovis, CA 93619-2857 | 2020-01-01 |
| 1942845847 | Victoria Jessica Vang | Nurse Practitioner | 1555 Shaw Ave Ste 101, Clovis, CA 93611-4096 | 2019-11-14 |
| 1871146464 | Stacey Chavez | Nurse Practitioner | 105 Redwing, Clovis, NM 88101-9597 | 2019-07-22 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1427431139 | Krisa Sompong Nguyen | Nurse Practitioner | 2697 Omaha Ave, Clovis, CA 93619-8478 | 2015-06-30 |
| 1184047631 | Patricia Painter | Nurse Practitioner | 716 E Tierra Blanca Rd, Clovis, NM 88101-3753 | 2014-02-03 |
| 1962714410 | Clovis Quickcare LLC | Nurse Practitioner | 2000 W 21st St Ste E3, Clovis, NM 88101-4093 | 2010-07-12 |
| Find all providers in CLOVIS | ||||
Please comment or provide details below to improve the information on MS. JOAN CARMACK 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.