ELISABETH A CLARK (NPI# 1205486743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205486743 |
| Entity Type | Individual |
| Full Name | ELISABETH A CLARK |
| Credential | RN |
| Practice Address |
59 Bangor St Houlton ME 04730-1740 |
| Mailing Address |
529 S Patten Rd Patten ME 04765-3007 |
| Practice Telephone | 2075383700 |
| Practice Fax Number | 2075282880 |
| Mailing Telephone | 2075383700 |
| Mailing Fax Number | 2075282880 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN63645 | ME | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605054 | Elisabeth Rechele Clark | Case Manager/Care Coordinator | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2019-02-18 |
| 1184188039 | Elisabeth T Clark | Counselor | 108 S Main St, Manheim, PA 17545-1602 | 2019-01-24 |
| 1043368145 | Elisabeth Oliver Clark | Psychologist | 544 S San Vicente Blvd, Suite 203, Los Angeles, CA 90048-4622 | 2007-01-08 |
| Street Address |
59 BANGOR ST |
| City | HOULTON |
| State | ME |
| Zip Code | 04730-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700858354 | Dawn Mcginnis | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2006-02-07 |
| 1457950404 | Jessica R Hemingway | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-10-21 |
| 1154936912 | Jamieson F Romanelli | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-09-09 |
| 1811512668 | Mary Jane Walton | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-06-08 |
| 1942822234 | Jessica C Porter | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-05-11 |
| 1417579954 | Tania Godbout | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-05-07 |
| 1619597804 | Keri Louise Bennett | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-04-17 |
| 1922643246 | Jamie M Mccarthy | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-11 |
| 1568007185 | Desiree A Deprey | Nurse's Aide | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-07 |
| 1275178899 | Jayde N Stover | Nurse's Aide | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
| 1518267715 | Jill Forest | Case Manager/Care Coordinator | 147 Hodgdon Mills Road, Hodgdon, ME 04730 | 2010-10-22 |
| 1689989097 | Miriam Carter | Speech-Language Pathologist | 65 South St., Rsu #29, Houlton, ME 04730 | 2010-08-10 |
| 1821296708 | Carl Malcolm Tingley | Physical Therapy Assistant | 342 Mcsheffery Road, Houlton, ME 04730 | 2007-07-03 |
| 1386847804 | Jennifer Ann Gooley | Physical Therapy Assistant | 94 Militay St., Madigan Estates, Holton, ME 04730 | 2007-06-11 |
| 1386783173 | Bruce Merrill Harvey | Chiropractor | 22 B Road, Houlton, ME 04730 | 2007-02-06 |
| 1225124050 | Houlton Band of Maliseet Indians | Clinic/Center | 12 Clover Circle, Houlton, ME 04730 | 2006-10-05 |
| 1205929171 | Donald P Woods | Dentist | 88 Mcsheffery Rd, Houlton, ME 04730 | 2006-10-02 |
| 1578665485 | Donald G Brushett | Family Medicine | 59 Bangor Street, Katahdin Valley Health Center, Houlton, ME 04730 | 2006-09-01 |
| 1518463470 | A New Start LLC | Social Worker | 22 North Street, Houiton, ME 04730 | 2018-03-31 |
| Find all providers in zip 04730 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950404 | Jessica R Hemingway | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-10-21 |
| 1942822234 | Jessica C Porter | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-05-11 |
| 1619597804 | Keri Louise Bennett | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-04-17 |
| 1922643246 | Jamie M Mccarthy | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-11 |
| 1790335230 | Karen A Hardy | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2019-09-17 |
| 1487152732 | Kim Ellen Fox | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2018-01-31 |
| 1275895427 | Beverly J Bubar | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2012-06-13 |
| 1821350075 | Yvonne Brinkman | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2012-06-13 |
| 1164788816 | Alison M Willette | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2012-04-06 |
| 1275899924 | Shaun P Mcnally | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2012-04-06 |
| Find all providers in HOULTON | ||||
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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.