BRIDGET CLARK (NPI# 1265970578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265970578 |
| Entity Type | Individual |
| Full Name | BRIDGET CLARK |
| Practice Address |
119 Herriford Curve Road Jamestown KY 42629-2520 |
| Mailing Address |
130 Southern School Rd Somerset KY 42501-3223 |
| Practice Telephone | 2703432551 |
| Practice Fax Number | 2703432522 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1841688520 | Bridget Clark | Speech-Language Pathologist | 128 Atlanta Way, Bowling Green, KY 42103-7093 | 2015-01-02 |
| 1477865327 | Bridget Eileen Clark | Speech-Language Pathologist | 137 W Parker Rd Ste A, Morganton, NC 28655-4622 | 2010-07-08 |
| 1912476037 | Bridget Megan Clark | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2018-11-19 |
| 1598267650 | Bridget Clark | Specialist/Technologist | 541 Main St, New London, NH 03257-7818 | 2018-03-05 |
| 1912264292 | Bridget M. Clark | Psychiatry & Neurology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-04-11 |
| 1528174257 | Bridget Clark | Physical Therapist | 13805 Research Blvd Ste 150, Austin, TX 78750-1400 | 2006-08-23 |
| Street Address |
119 HERRIFORD CURVE ROAD |
| City | JAMESTOWN |
| State | KY |
| Zip Code | 42629-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437325859 | Sherri L Bird | Case Manager/Care Coordinator | 119 Herriford Curve Road, Jamestown, KY 42629-2520 | 2008-05-06 |
| 1366078412 | Andrea Farlee | Case Manager/Care Coordinator | 119 Herriford Curve Road, Jamestown, KY 42629-2520 | 2020-03-20 |
| 1386277242 | Katherine R. Lynn | Counselor | 119 Herriford Curve Road, Jamestown, KY 42629-2520 | 2020-02-19 |
| 1508425174 | Megan N Harvey | Counselor | 119 Herriford Curve Road, Jamestown, KY 42629-4262 | 2019-06-07 |
| 1629546858 | Chantelle Marcum | Case Manager/Care Coordinator | 119 Herriford Curve Road, Jamestown, KY 42629-4262 | 2018-11-06 |
| 1902322449 | Angela M Murray | Counselor | 119 Herriford Curve Road, Jamestown, KY 42629 | 2017-08-16 |
| 1700337565 | Eric Antle | Case Manager/Care Coordinator | 119 Herriford Curve Road, Jamestown, KY 42629-2520 | 2016-10-17 |
| 1427504182 | Amber Smith | Counselor | 119 Herriford Curve Road, Jamestown, KY 42629-2520 | 2016-08-31 |
| 1477926699 | Arlie Piercy | Case Manager/Care Coordinator | 119 Herriford Curve Road, Jamestown, KY 42629 | 2015-11-10 |
| 1740653427 | Teresa Gleason | Case Manager/Care Coordinator | 119 Herriford Curve Road, Jamestown, KY 42629 | 2015-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023400124 | Vickie Robertson | Registered Nurse | 119 Herriford Curve Rd, Jamestown, KY 42629 | 2015-02-26 |
| 1821314733 | Kristin Holly Adams | Pharmacist | 1417 N. Main St., Jamestown, KY 42629 | 2010-04-16 |
| 1588989008 | Jamestown Healthcare Clinic, LLC | Nurse Practitioner | 1417 N. Main St, Jamestown, KY 42629 | 2010-03-29 |
| 1801079660 | Lynda K Heath | Nurse Practitioner | 119 Hereford Curve Rd, Jamestown, KY 42629 | 2007-12-14 |
| 1609064831 | Julene Hopper | Counselor | 119 Hereford Curve Road, Jamestown, KY 42629 | 2007-10-12 |
| 1114059375 | Lisa Ann Helm | Speech-Language Pathologist | 70 Forest Hill Drive, Jamestown, KY 42629 | 2007-03-12 |
| 1235268723 | Jamestown Valu-rite Pharmacy | Durable Medical Equipment & Medical Supplies | 1417 North Main Street, Suite A, Jamestown, KY 42629 | 2007-03-02 |
| 1972642361 | Russell County Board of Education | Local Education Agency (LEA) | 404 S Main Street, Jamestown, KY 42629 | 2007-02-05 |
| 1508942749 | Melanie K Loy Flanagan | Dentist | 43 Fruit of The Loom Drive, Jamestown, KY 42629 | 2006-10-31 |
| 1891881413 | Jeffrey Louis Warner | Pharmacist | 1417 N. Main Street, Suite A, Jamestown, KY 42629 | 2006-10-04 |
| Find all providers in zip 42629 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1558897066 | Corinne Schmoker | Case Manager/Care Coordinator | 214 6th Ave Ne Ste A, Jamestown, ND 58401-3632 | 2017-05-03 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1437325859 | Sherri L Bird | Case Manager/Care Coordinator | 119 Herriford Curve Road, Jamestown, KY 42629-2520 | 2008-05-06 |
| 1841311537 | Leslie E Cusimano | Case Manager/Care Coordinator | 333 E 5th St, Jamestown, NY 14701-5551 | 2007-04-02 |
| 1235745167 | Jodi L Grugel | Case Manager/Care Coordinator | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-09-16 |
| 1619585478 | Sarah Coe | Case Manager/Care Coordinator | 119 Hereford Curve Road, Jamestown, KY 42629 | 2020-07-17 |
| 1366078412 | Andrea Farlee | Case Manager/Care Coordinator | 119 Herriford Curve Road, Jamestown, KY 42629-2520 | 2020-03-20 |
| 1740813146 | Kelsey Schumacher | Case Manager/Care Coordinator | 116 1st St E, Jamestown, ND 58401-4253 | 2020-02-14 |
| 1912539420 | Chelsea Benedict | Case Manager/Care Coordinator | 116 1st St E, Jamestown, ND 58401-4253 | 2020-02-12 |
| Find all providers in JAMESTOWN | ||||
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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.