REBECCA LEE CLARK (NPI# 1184130759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184130759 |
Entity Type | Individual |
Full Name | REBECCA LEE CLARK |
Credential | RN IBCLC |
Practice Address |
2435 Kimberly Rd Ste 10n Bettendorf IA 52722-3572 |
Practice Telephone | 3097371773 |
Enumeration Date | 2017-12-19 |
Last Update Date | 2017-12-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
127539 | IA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558978833 | Rebecca Clark | Massage Therapist | 244 Madison Ave # 391, New York, NY 10016-2817 | 2020-09-30 |
1144761099 | Rebecca Clark | Counselor | 24401 W 39th St S, Goddard, KS 67052-8713 | 2017-03-11 |
1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
1861557563 | Rebecca Clark | Respite Care | 2703 S 37th Dr, Yuma, AZ 85364-5983 | 2006-12-25 |
1831112671 | Rebecca Jand Clark | Counselor | 1501 San Pedro Se (116), Albuquerque, NM 87108 | 2006-07-25 |
1922067859 | Rebecca A Clark | Physician Assistant | 664 N Main St, Pearson, GA 31642 | 2006-03-20 |
1124004700 | Rebecca Elizabeth Clark | Nurse Practitioner | 1811 State St, Nashville, TN 37203-2205 | 2005-12-15 |
1841811098 | Rebecca L Clark | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-04-29 |
1073149167 | Rebecca Maria Clark | Genetic Counselor, MS | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224-1334 | 2020-03-20 |
1891346466 | Rebecca Mae Clark | Pharmacist | 5804 1st Ave S, Birmingham, AL 35212-2524 | 2019-09-25 |
Street Address |
2435 KIMBERLY RD STE 10N |
City | BETTENDORF |
State | IA |
Zip Code | 52722-3572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
Find all providers in zip 52722 |
Taxonomy Code | 163WL0100X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Lactation Consultant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588171243 | Kaitlyn R Girskis | Registered Nurse | 2435 Kimberly Rd Ste 10, Bettendorf, IA 52722-3509 | 2018-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437782638 | Erica Ruth Sloan | Registered Nurse | 4055 Westown Pkwy, West Des Moines, IA 50266-1033 | 2020-02-16 |
1619320777 | Madelyn Lee Brunow | Registered Nurse | 3539 230th St, Woodbine, IA 51579-5064 | 2016-07-13 |
1992167415 | Lori Jean Theisen | Registered Nurse | 3268 Hillcrest Rd, Apartment 5, Dubuque, IA 52001-3939 | 2016-03-23 |
1447504758 | Angela E. Swieter | Registered Nurse | 5050 Ne 38th Ave, Des Moines, IA 50317-8036 | 2012-11-08 |
1396099024 | Elizabeth Buchholtz | Registered Nurse | 1010 Highway 69, Belmond, IA 50421-8006 | 2012-11-02 |
1659587129 | Julia M Schveiger | Registered Nurse | 509 W Quarry St, Maquoketa, IA 52060-2123 | 2007-05-14 |
1962017764 | Carrie Anne Kelderman | Registered Nurse | 404 Jefferson St, Pella, IA 50219-1257 | 2020-09-09 |
1952894834 | Louise Mcdonough | Registered Nurse | 1609 Cedar St, Muscatine, IA 52761-3426 | 2018-06-14 |
1184125262 | Jenifer Edstrom | Registered Nurse | 1419 6th Ave, De Witt, IA 52742-1161 | 2018-02-23 |
1346667862 | Leeann Albright | Registered Nurse | 4908 Franklin Ave, Des Moines, IA 50310-1901 | 2014-03-21 |
Find all providers with the same taxonomy |
City | BETTENDORF |
Zip Code | 52722 |
Please comment or provide details below to improve the information on REBECCA LEE 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.