HEATHER LYNN CLARK (NPI# 1215424270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215424270 |
Entity Type | Individual |
Full Name | HEATHER LYNN CLARK |
Credential | PHD |
Practice Address |
601 Elmwood Ave Box Med Rochester NY 14642-0001 |
Mailing Address |
3670 Washington Blvd University Heights OH 44118-2658 |
Practice Telephone | 5852752874 |
Mailing Telephone | 9492302279 |
Enumeration Date | 2018-04-16 |
Last Update Date | 2018-04-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972900520 | Heather Clark | Family Medicine | 9815 Main St Ste 208, Damascus, MD 20872 | 2014-11-25 |
1417387721 | Heather Summers Clark | Counselor | 12729 Nw Twin Oaks Dr, Bristol, FL 32321-3431 | 2013-11-22 |
1093095010 | Heather C Clark | Physical Therapist | 778 Baeder Rd, Jenkintown, PA 19046-2236 | 2011-08-22 |
1619184959 | Heather Clark | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2007-05-17 |
1033281555 | Heather E Clark | Dentist | 269 N Easton Rd, Glenside, PA 19038-4717 | 2006-11-14 |
1336139252 | Heather J Clark | Pharmacist | 14720 Metcalf Ave, Overland Park, KS 66223-2204 | 2005-10-22 |
1356343784 | Heather M Clark | Dentist | 2311 New Rd, Northfield, NJ 08225-1442 | 2005-08-15 |
1295365815 | Heather Elan Clark | Registered Nurse | 5721 Hamilton Rd, Jordan, NY 13080-9760 | 2020-01-23 |
1861983116 | Heather Nicole Clark | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4396 | 2018-05-22 |
1467976696 | Heather Clark | Physician Assistant | 3200 E Racine St, Janesville, WI 53546-2343 | 2017-07-31 |
Street Address |
601 ELMWOOD AVE BOX MED |
City | ROCHESTER |
State | NY |
Zip Code | 14642-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982856415 | Marshall Albert Lichtman | Internal Medicine | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2008-10-15 |
1144887308 | Mackenzie Rose Both | Physician Assistant | 601 Elmwood Ave Box Med, Rochester, NY 14642-3052 | 2019-05-23 |
1932765385 | Janice Zhao | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2019-05-10 |
1255997730 | Christine Papastamelos | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2019-05-10 |
1528624095 | Rachel Marie Simpson | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2019-05-10 |
1255997672 | Anna Kepley | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2019-05-10 |
1437714706 | Brian House | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2019-05-02 |
1912498379 | Natalia Chunga Iturry | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2018-05-22 |
1245720093 | Sophia E Russ | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2018-05-17 |
1689162273 | Nilbhi Patel | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2018-04-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
Find all providers in zip 14642 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174130421 | Carolyne Copley | Student in an Organized Health Care Education/Training Program | 226 2nd St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
1497362925 | Alexandra Michelle Hasiotis | Student in an Organized Health Care Education/Training Program | 36 Copperfield Rd, Rochester, NY 14615-1102 | 2020-09-29 |
1750905873 | Anna C Lin | Student in an Organized Health Care Education/Training Program | 419 7th Ave Sw, Rochester, MN 55902-3216 | 2020-06-04 |
1558985101 | Erin Marissa Hannigan | Student in an Organized Health Care Education/Training Program | 4802 8th St Sw, Rochester, MN 55902-8711 | 2020-05-29 |
1710501408 | Anna Dowling | Student in an Organized Health Care Education/Training Program | 609 E 2650 North Rd, Rochester, IL 62563-8108 | 2020-05-29 |
1689296386 | Bryan Liming Jan | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 632, Rochester, NY 14642-0001 | 2020-05-15 |
1780206474 | Robert Tainsh | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box 604, Rochester, NY 14642-0001 | 2020-05-15 |
1578185302 | Shaahin Dadjoo | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave Ofc 683, Rochester, NY 14620-2913 | 2020-05-14 |
1578185534 | Starling Tolliver | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # Ac-5696, Rochester, NY 14642-0001 | 2020-05-13 |
1548882707 | Christian A Archer | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Hh 37, Rochester, NY 14642-0001 | 2020-05-11 |
Find all providers in ROCHESTER |
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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.