ERIN TYLER CLARK (NPI# 1255895694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255895694 |
| Entity Type | Individual |
| Full Name | ERIN TYLER CLARK |
| Practice Address |
405 Reynolds St Ne Branford FL 32008-2861 |
| Mailing Address |
4171 County Road 252 Wellborn FL 32094-2620 |
| Practice Telephone | 3869355614 |
| Mailing Telephone | 3866880925 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000008970 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113221 | Erin Clark | Massage Therapist | 9014 W Cambridge Ave, Phoenix, AZ 85037-3430 | 2020-10-27 |
| 1760699128 | Erin Elizabeth Clark | Marriage & Family Therapist | 2850 Pio Pico Dr, Suite J, Carlsbad, CA 92008-1554 | 2007-05-16 |
| 1427163989 | Erin D Clark | Specialist/Technologist | 11225 Pine Bank Ct, Fort Wayne, IN 46845-1841 | 2006-08-21 |
| 1437774361 | Erin Clark | Behavioral Analyst | 1 Forest Ct, Morris Plains, NJ 07950-2514 | 2020-06-16 |
| 1134680325 | Erin Olivia Clark | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2019-03-29 |
| 1083198733 | Erin Greer Clark | Speech-Language Pathologist | 1631 Crofton Ctr, Crofton, MD 21114-1343 | 2018-09-19 |
| 1285126185 | Erin Elizabeth Clark | Nurse Practitioner | 11 Wilbraham Road, Springfield, MA 01109-3161 | 2018-06-06 |
| 1639666548 | Erin Clark | Behavior Technician | 29174 Sw Town Center Loop W Ste 101, Wilsonville, OR 97070-9309 | 2018-04-16 |
| 1629508908 | Erin Kae Clark | Specialist/Technologist | 800 W Main St, Williams Center 105g, Whitewater, WI 53190 | 2017-06-19 |
| 1932640166 | Erin Dawn Clark | Pharmacist | 1 Quality Dr, Vacaville, CA 95688-9494 | 2017-03-20 |
| Street Address |
405 REYNOLDS ST NE |
| City | BRANFORD |
| State | FL |
| Zip Code | 32008-2861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130548 | Kellie Ann White | Nurse Practitioner | 103 Us Highway 27, Branford, FL 32008 | 2020-07-01 |
| 1609382795 | Kristin Hope Mcintosh | Nurse Practitioner | 103 Us-27, Branford, FL 32008 | 2017-12-27 |
| 1457749897 | Holly M Reed | Registered Nurse | 103 Us Hwy 27, Branford, FL 32008 | 2015-01-08 |
| 1891874707 | Florida Department of Health | Public Health or Welfare | 120 Suwannee Ave, Branford, FL 32008 | 2006-11-02 |
| 1194140319 | Janice Baucom | Nurse Practitioner | 109 S.w. Savannah Ave., Branford, FL 32008 | 2014-02-25 |
| 1659487049 | Nancy Lee Cooper | Chiropractor | 13159 East Us Hwy 27, Branford, FL 32008-0396 | 2006-08-21 |
| 1568657716 | Cooper Chiropractic, Inc. | Chiropractor | 13159 East Us Hwy 27, Branford, FL 32008-0396 | 2007-09-11 |
| 1437461969 | Tracy D. Lamb | Developmental Therapist | 26082 Hwy 247, Branford, FL 32008-0744 | 2010-07-13 |
| 1639199243 | Bienvenido Samera | Family Medicine | 303 Suwannee Ave, Branford, FL 32008-0846 | 2006-07-20 |
| 1881246155 | Ajm Transport Company LLC | Non-emergency Medical Transport (VAN) | 4352 282nd Ter, Branford, FL 32008-2374 | 2019-07-16 |
| Find all providers in zip 32008 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597560 | Hannah Ogle | Specialist/Technologist | 110 Gloria Drive, Hollister, FL 32147 | 2020-10-30 |
| 1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
| 1568061182 | Lester Vivian Leon Ferdinand | Specialist/Technologist | 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 | 2020-10-24 |
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1679170369 | David S Duchin | Specialist/Technologist | 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 | 2020-10-06 |
| 1750988838 | Jade Shields | Specialist/Technologist | 144 Enrede Ln, Saint Augustine, FL 32095-7436 | 2020-10-02 |
| 1639786940 | Dewayne N Dubose | Specialist/Technologist | 344 Chesham St, Ormond Beach, FL 32174-0692 | 2020-09-30 |
| 1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
| 1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
| 1104430305 | Nikki Page Keown | Specialist/Technologist | 12136 Luftburrow Ln, Hudson, FL 34669-5005 | 2020-09-04 |
| 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.