JAMES DANIEL CLARK (NPI# 1285240036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285240036 |
Entity Type | Individual |
Full Name | JAMES DANIEL CLARK |
Other Name | BEAR CLARK |
Credential | DNP, APRN, FNP-BC |
Practice Address |
1325 Sanders Dr Laramie WY 82070-8204 |
Practice Telephone | 9189246044 |
Mailing Telephone | 9189246044 |
Enumeration Date | 2020-09-17 |
Last Update Date | 2020-09-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
46477 | WY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376154435 | James Lindsay Clark | Pharmacist | 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 | 2020-08-12 |
1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
1225595614 | James Colbert Clark IIi | Specialist/Technologist | 11 Aventura Ct, Randallstown, MD 21133-4330 | 2019-02-21 |
1609389832 | James Thomas Clark | Contractor | 11460 Old Mill Rd, Spencer, OH 44275-9582 | 2017-11-09 |
1124427067 | James William Clark | Dentist | 2825 Se 45th St, Ocala, FL 34480-7225 | 2014-08-16 |
1306267406 | James Clark | Pharmacist | 11307 Roszell St, San Antonio, TX 78217-2511 | 2013-12-17 |
1720322795 | James Timothy Clark | Hearing Instrument Specialist | 724 Perry Ave, Big Rapids, MI 49307-2200 | 2012-11-15 |
1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
1063740280 | James Richard Clark | Counselor | 534 Ne Brookstone Dr, Prineville, OR 97754-3221 | 2009-11-28 |
Street Address |
1325 SANDERS DR |
City | LARAMIE |
State | WY |
Zip Code | 82070-8204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
Find all providers in zip 82070 |
Taxonomy Code | 364SF0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Family Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790160679 | Kristi D Roybal | Clinical Nurse Specialist | 4136 Laramie St Ste A, Cheyenne, WY 82001-1969 | 2015-07-21 |
1346745205 | Tamara Sue Bach | Clinical Nurse Specialist | 195 Feather Way Ste 100, Evanston, WY 82930-9352 | 2018-03-24 |
1710413141 | Gerald Albert Walker Jr. | Clinical Nurse Specialist | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-04 |
1407265515 | Amanda Mcintire | Clinical Nurse Specialist | 1401 W 5th St, Sheridan, WY 82801-2705 | 2014-08-04 |
1093091381 | Melanie A Kawulok | Clinical Nurse Specialist | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2011-10-31 |
Please comment or provide details below to improve the information on JAMES DANIEL 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.