CHIMERE L CLARK (NPI# 1245656958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245656958 |
| Entity Type | Individual |
| Full Name | CHIMERE L CLARK |
| Credential | WHNP |
| Practice Address |
825 Fairfax Ave Norfolk VA 23507 |
| Mailing Address |
825 Fairfax Ave Norfolk VA 23507-1914 |
| Practice Telephone | 7574467900 |
| Mailing Telephone | 7574467920 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0017141498 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA HEALTH | 10129497N | 01 |
| VA | VIRGINIA PREMIER HEALTH PLAN | 1245656958 | 01 |
| VA | USA MANAGED CARE | PAR | 01 |
| VA | TRICARE/CHAMPUS | -010 | 01 |
| NC | 1245656958 | 05 | |
| VA | CORVEL | PAR | 01 |
| VA | MULTIPLAN | PAR | 01 |
| VA | 1245656958 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 Volvo Pkwy Ste 101, Chesapeake, VA 233201621 | 7578424120 | 7575481652 |
| 3802 Poplar Hill Rd Ste C, Chesapeake, VA 233215523 | 7576738383 | 7574839350 |
| Street Address |
825 FAIRFAX AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167796 | Richard Norman Willard | Obstetrics & Gynecology | 825 Fairfax Ave, Suite 310, Norfolk, VA 23507-1914 | 2005-07-12 |
| 1053930800 | Seth Warren | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-12 |
| 1235768730 | Chelsea Time Rubis | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-06 |
| 1689203317 | Kristen Mcconnell Gogoli | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-04-04 |
| 1003445040 | Mruna Jaymin Patel | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-02 |
| 1750919130 | Mary Elizabeth Wade | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-03-31 |
| 1982232773 | Bradley Nicolas Cotrina | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-29 |
| 1841827821 | Miles Reese | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-27 |
| 1053948083 | Colin Neils Chao | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-27 |
| 1164984290 | Una Kosarac | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2019-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528391307 | Cimone S John | Nurse Practitioner | 2810 Tidewater Dr, Norfolk, VA 23509-1050 | 2009-09-11 |
| 1033139548 | Julie Ann Schlomer | Nurse Practitioner | 1410 N. 13th Street, Norfolk, NE 68701 | 2006-07-20 |
| 1548246390 | Ella Denise Prince-hinton | Nurse Practitioner | Branch Health Clinic Norfolk - Sewells Point, 1721 Taussig Blvd, Norfolk, VA 23511-2899 | 2005-12-22 |
| 1235784653 | Northeast Moms and Babies, Pllc | Nurse Practitioner | 19 Old Mill Rd, Norfolk, MA 02056-1435 | 2019-08-02 |
| 1699291369 | Kassidy D Horst | Nurse Practitioner | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2017-08-15 |
| 1588059554 | Jenna R. Lautenbacher | Nurse Practitioner | 825 Fairfax Ave, Suite 310, Norfolk, VA 23507-1914 | 2015-04-06 |
| 1518113604 | Perry Caudill | Nurse Practitioner | 825 Fairfax Ave Ste 310, Norfolk, VA 23507-1914 | 2008-08-08 |
| 1144318148 | Kristie L Lubischer | Nurse Practitioner | 2504 W Benjamin Ave, Norfolk, NE 68701-3120 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358651 | Mickeya Patrice Hayes | Nurse Practitioner | 700 Oak Grove Rd, Chesapeake, VA 23320-3728 | 2020-08-26 |
| 1538790092 | Megan Renae Deel | Nurse Practitioner | 14533 Peaceful Valley Rd, Abingdon, VA 24210-8109 | 2020-02-03 |
| 1609415249 | Kaamilya King | Nurse Practitioner | 5100 Avia Cir Apt 207, Richmond, VA 23233-7840 | 2019-12-30 |
| 1609419704 | Crystal Zacker | Nurse Practitioner | 3843 Mountain Rd, Glen Allen, VA 23060-1936 | 2019-10-21 |
| 1144885849 | Rachel Daou Featherstone | Nurse Practitioner | 8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 | 2019-05-08 |
| 1326500976 | Adetutu Marioghae | Nurse Practitioner | 12783 Sidney Way, Lake Ridge, VA 22192-7611 | 2019-04-03 |
| 1568928398 | Laurie Carpenter | Nurse Practitioner | 1300 Hospital Dr Ste 202, Fredericksburg, VA 22401-8451 | 2019-02-18 |
| 1659871713 | Emily Nobles | Nurse Practitioner | 3720 Holland Rd Ste 101, Virginia Beach, VA 23452-2859 | 2018-02-15 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1437604881 | Rosalie Marie Gunson | Nurse Practitioner | 200 Executive Center Pkwy Ste 102, Fredericksburg, VA 22401-3177 | 2016-08-15 |
| 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.