STACEY LYNN CLARK (NPI# 1235624602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235624602 |
| Entity Type | Individual |
| Full Name | STACEY LYNN CLARK |
| Credential | RN |
| Practice Address |
9709 Lincoln Hwy Bedford PA 15522 |
| Mailing Address |
209 W John St Bedford PA 15522-1711 |
| Practice Telephone | 8146523220 |
| Mailing Telephone | 8146170028 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN696926 | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686124 | Stacey Deann Clark | Licensed Vocational Nurse | 1400 Barron Ln, Axtell, TX 76624-1394 | 2019-02-26 |
| 1881192581 | Stacey Clark | Speech-Language Pathologist | 6301 Gaston Ave Ste 750, Dallas, TX 75214-3922 | 2018-01-28 |
| 1144607797 | Stacey Clark | Social Worker | 9040 Jackson Ave, Tacoma, WA 98431-1332 | 2015-05-04 |
| 1013170869 | Stacey K Clark | Emergency Medicine | 16528 E Desmet Ct, Spokane Valley, WA 99216-3522 | 2008-07-02 |
| 1184808511 | Stacey Leigh Clark | Otolaryngology | 3705 Medical Pkwy, Suite 200, Austin, TX 78705-1019 | 2007-12-20 |
| 1699891580 | Stacey Ann Clark | Chiropractor | 11 Hill St, Lyndonville, VT 05851-8911 | 2007-03-22 |
| 1457481897 | Stacey Leigh Clark | Pharmacist | 303 Green St E, Wilson, NC 27893-4105 | 2007-03-06 |
| 1306905484 | Stacey L Clark | Counselor | 493 Westfield Rd, B, Noblesville, IN 46060-1327 | 2006-12-06 |
| 1528098712 | Stacey Ellen Clark | Nurse Practitioner | 414 E Main St, Durham, NC 27701-3720 | 2006-07-03 |
| 1285606574 | Stacey Ann Clark | Pediatrics | 1447 Medical Park Blvd, #402, Wellington, FL 33414 | 2006-02-02 |
| Street Address |
9709 LINCOLN HWY |
| City | BEDFORD |
| State | PA |
| Zip Code | 15522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871668244 | Margaret Therese Mchugh | Internal Medicine | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2006-11-21 |
| 1083221386 | Daniel Lee Myers | Social Worker | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2020-09-30 |
| 1053935700 | Tisa Leann Schreiber | Registered Nurse | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2020-05-28 |
| 1861020687 | Kortni Dawn Zimmerman | Registered Nurse | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2020-03-28 |
| 1396372231 | Danielle M Mitchell | Registered Nurse | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2020-03-23 |
| 1861023830 | Melinda Sue Jacobs | Social Worker | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2020-01-29 |
| 1336787878 | Yvonne Marie Winston | Licensed Practical Nurse | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2019-12-16 |
| 1588218713 | Karen Sue Baughman | Registered Nurse | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2019-07-25 |
| 1073166658 | Randi Myers | Social Worker | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2019-07-22 |
| 1073177812 | Nina Marie Wirick | Registered Nurse | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2019-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253308 | Jennifer Ann Leibfreid | Pharmacist | 654 E Pitt St, Bedford, PA 15522 | 2020-10-21 |
| 1336632579 | Jesse Wolfe | Physical Therapist | 9613 Lincoln Hwy Ste 107, Bedford, PA 15522 | 2018-06-12 |
| 1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
| 1649723529 | Gina Rievel | Physical Therapy Assistant | 320 E Watson Street, Bedford, PA 15522 | 2016-07-27 |
| 1295184356 | Megan Ann Diehl | Social Worker | 3759 Business Route 220 N., Suite 101, Bedford, PA 15522 | 2016-06-09 |
| 1275912644 | Alternative Community Resource Program | Public Health or Welfare | 3759 Business Rt. 220, Bedford, PA 15522 | 2015-05-19 |
| 1588002513 | Gennifer E Washington | Social Worker | 104 Blanche St, Bedford, PA 15522 | 2013-06-12 |
| 1942554787 | Kristen Susannah Kozak | Nurse Practitioner | Upmc Bedford Walk In Clinic, 420 E. Central Way, Bedford, PA 15522 | 2012-11-01 |
| 1861753576 | Kelly Nicole Ford | Social Worker | 5157 Business 220, Bedford, PA 15522 | 2012-05-30 |
| 1932465234 | Amberly Shaffer | Counselor | 3759 Business Rte. 220 N. Suite 101, Bedford, PA 15522 | 2012-04-11 |
| Find all providers in zip 15522 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841704590 | Bosang & Chandler, Inc. | Registered Nurse | 2003 Joseph's Way, Bedford, VA 24523 | 2017-11-16 |
| 1588218713 | Karen Sue Baughman | Registered Nurse | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2019-07-25 |
| 1932433596 | Elizabeth Mary Flerchinger | Registered Nurse | 19999 Rockside Rd, Bedford, OH 44146-2074 | 2009-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547953 | Abigail Landis | Registered Nurse | 370 Pheasant Rd, Harleysville, PA 19438-1816 | 2020-10-30 |
| 1740816370 | Sheena Louise Clark | Registered Nurse | 5111 Big Creek Rd, Clearville, PA 15535-5229 | 2020-03-16 |
| 1396395091 | Latonya Walker | Registered Nurse | 134 Plymouth Rd Unit 4217, Plymouth Meeting, PA 19462-1466 | 2019-09-13 |
| 1306306071 | Rolf Christian Shaffer | Registered Nurse | 559 Buchert Rd, Gilbertsville, PA 19525-9157 | 2019-03-20 |
| 1912465113 | Karen Kay Bondura | Registered Nurse | 1410 Laurel Blvd Ste 2, Pottsville, PA 17901-1415 | 2019-03-06 |
| 1003349416 | Laurie Catalfo | Registered Nurse | 110 S Front St, New Freedom, PA 17349-8441 | 2017-04-04 |
| 1649729039 | Angela Shields | Registered Nurse | 827 S Cecil St, Philadelphia, PA 19143-2718 | 2016-09-26 |
| 1336696137 | Marika Brown | Registered Nurse | 435 South Ave, Pittsburgh, PA 15221-2811 | 2016-09-08 |
| 1487001277 | Cheryl Hohrath | Registered Nurse | 114 Winding Hill Dr, Lancaster, PA 17601-1791 | 2016-05-21 |
| 1841659497 | Marina Edwards | Registered Nurse | 448 Erie St, Suite 200, Edinboro, PA 16412-2294 | 2016-02-10 |
| Find all providers with the same taxonomy | ||||
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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.