MASHARIA ANN CLARK (NPI# 1235185042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235185042 |
| Entity Type | Individual |
| Full Name | MASHARIA ANN CLARK |
| Credential | ARNP |
| Practice Address |
2763 1st Ave N St Petersburg FL 33713-8723 |
| Practice Telephone | 7273221054 |
| Practice Fax Number | 7273236549 |
| Mailing Telephone | 7273221054 |
| Mailing Fax Number | 7273236549 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP3023802 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2763 1ST AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939598 | Janice P Jackson | Nurse Practitioner | 2763 1st Ave N, St Petersburg, FL 33713-8723 | 2005-08-16 |
| 1790123271 | Florida Endocrinology & Diabetes Center LLC | Internal Medicine | 2763 1st Ave N, St Petersburg, FL 33713-8723 | 2013-06-06 |
| 1376596791 | Karen V Hough | Nurse Practitioner | 2763 1st Ave N, St Petersburg, FL 33713-8723 | 2006-05-18 |
| 1659339281 | Sueanne E Thomas | Nurse Practitioner | 2763 1st Ave N, St Petersburg, FL 33713-8723 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730436973 | Frank J Rodell Arnp Pa | Nurse Practitioner | 1049 Bella Vista Dr Ne, St Petersburg, FL 33702-1452 | 2012-08-07 |
| 1053563361 | Jane Phelan | Nurse Practitioner | 2578 66th Ter S, St Petersburg, FL 33712-5608 | 2008-10-17 |
| 1851460513 | Teresa Lyn Cope | Nurse Practitioner | 132 9th Ave N, St Petersburg, FL 33701-1814 | 2006-11-07 |
| 1487642963 | Reba E Shoenfelt | Nurse Practitioner | 7945 1st Ave S, St Petersburg, FL 33707-1019 | 2005-10-10 |
| 1033736418 | Connection Behavioral Health | Nurse Practitioner | 9800 4th St N Ste 200, St Petersburg, FL 33702-2462 | 2020-07-01 |
| 1558827014 | Chiara Williams | Nurse Practitioner | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2019-02-20 |
| 1972091221 | Anton M Dragonetti | Nurse Practitioner | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2018-04-23 |
| 1124484720 | Pedrita Rosenblatt Arnp LLC | Nurse Practitioner | 2021 66th Ave S, St Petersburg, FL 33712-5852 | 2016-01-12 |
| 1518367903 | Mary Patricia Rosario | Nurse Practitioner | 502 Pasadena Ave S, St Petersburg, FL 33707-2126 | 2014-09-04 |
| 1447659149 | Teresa L Cope Pllc | Nurse Practitioner | 132 9th Ave N, St Petersburg, FL 33701-1814 | 2014-08-19 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on MASHARIA ANN 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.