MICHELLE CLARKE (NPI# 1184132177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184132177 |
| Entity Type | Individual |
| Full Name | MICHELLE CLARKE |
| Credential | CPT , CNA |
| Practice Address |
4532 Browns Mill Ferry Rd Lithonia GA 30038-4528 |
| Practice Telephone | 4044373540 |
| Practice Fax Number | 4044373540 |
| Mailing Telephone | 6783621552 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2472E0500X |
Technician, Other Specialization: EEG |
C9P4H9A3 | GA | Technologists, Technicians & Other Technical Service Providers |
| N | 376K00000X | Nurse's Aide | CN0000001529 | GA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063743060 | Michelle Louise Clarke | Contractor | 409 Cedar St, Rogue River, OR 97537-9524 | 2010-01-15 |
| 1245765791 | Michelle Clarke | Specialist | 8141 Troost Ave, N Hollywood, CA 91605-1627 | 2017-04-21 |
| 1659804102 | Michelle Clarke | Specialist | 116 W 32nd St, New York, NY 10001-3212 | 2017-04-11 |
| 1477964070 | Michelle Clarke | Speech-Language Pathologist | 7616 13th Ave, Brooklyn, NY 11228-2412 | 2014-05-16 |
| 1104187798 | Michelle Lynn Clarke | Nurse Practitioner | 260 Elm St, Suite 105, Somerville, MA 02144-2951 | 2012-05-31 |
| 1245319029 | Michelle Marie Clarke | Social Worker | 132 Front St, Suite 306, Scituate, MA 02066-1386 | 2006-11-03 |
| 1437136355 | Michelle J Clarke | Neurological Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-30 |
| Street Address |
4532 BROWNS MILL FERRY RD |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1558812131 | Fresenius Medical Care Redan, LLC | Clinic/Center | 8425 Mall Parkway, Lithonia, GA 30038 | 2016-10-19 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1982020996 | Dina Rebecca Smith | Counselor | 6474 Gina Agha Circle, Lithonia, GA 30038 | 2014-03-14 |
| 1164765889 | Kimberly A Weems | Home Health | 6694 Brownsmill Ferry Drive, Lithonia, GA 30038 | 2013-04-01 |
| 1073850988 | Pain and Spine Solutions, LLC | Specialist | 3974 Glen Park Drive, Lithonia, GA 30038 | 2013-01-11 |
| 1629337514 | Fozi Ouse Adem | Pharmacist | 3140 Turner Hill Road, Lithonia, GA 30038 | 2012-05-11 |
| 1043579402 | Elizabeth Anne Berlin | Physician Assistant | 8825 Mall Parkway, Suite 150, Lithonia, GA 30038 | 2012-05-04 |
| 1730467911 | From Our Heart To Your Heart Personal Care Home | Custodial Care Facility | 4485 Idlewood Park, Lithonia, GA 30038 | 2011-07-22 |
| Find all providers in zip 30038 | ||||
| Taxonomy Code | 2472E0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700877008 | Cindy L Ellis | Technician, Other | 100 Colorado Ct, Lagrange, GA 30240-9523 | 2005-11-04 |
| 1023300308 | Mary W. Algeo | Technician, Other | 20 Glenlake Parkway, Kaiser Permanente Glenlake Medical Center, Atlanta, GA 30328 | 2011-05-05 |
| 1033240684 | Jack Chandley Chapman | Technician, Other | 7950 Martin Loop, Fort Benning, GA 31905-5647 | 2007-03-07 |
Please comment or provide details below to improve the information on MICHELLE CLARKE.
| 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.