SHARI A. CLARK, LLC (NPI# 1285672063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285672063 |
| Entity Type | Organization |
| Organization Name | SHARI A. CLARK, LLC |
| Practice Address |
1200 7th Ave N St Petersburg FL 33705-1300 |
| Mailing Address |
6135 30th Ct S St Petersburg FL 33712-4578 |
| Practice Telephone | 7278651275 |
| Mailing Telephone | 7278651275 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MASHARIA ANN CLARK (OWNER) |
| Authorized Official Telephone | 7276877076 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3023802 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 7TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001742 | Robert V Mcjennett | Emergency Medicine | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2005-05-24 |
| 1811598998 | Emily Matson | Registered Nurse | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2020-11-04 |
| 1477152346 | Vu T Duong | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2020-10-21 |
| 1699399691 | Charteye Hawkins | Registered Nurse | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2020-06-04 |
| 1881216620 | Mary-charlotte Bardin | Registered Nurse | 1200 7th Ave N, St Petersburg, FL 33705-1388 | 2020-05-14 |
| 1891336160 | Jason Burgun | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2019-10-08 |
| 1356982136 | Jordan Leigh Smith | Registered Nurse | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2019-10-03 |
| 1902447733 | Laura Nicole Setzer | Anesthesiology | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2019-10-02 |
| 1396392676 | Dionne S Reid | Nurse Practitioner | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2019-08-21 |
| 1639640832 | Adriana Isabel Larrea | Nurse Anesthetist, Certified Registered | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730436973 | Frank J Rodell Arnp Pa | Nurse Practitioner | 1049 Bella Vista Dr Ne, St Petersburg, FL 33702-1452 | 2012-08-07 |
| 1053563361 | Jane Phelan | Nurse Practitioner | 2578 66th Ter S, St Petersburg, FL 33712-5608 | 2008-10-17 |
| 1851460513 | Teresa Lyn Cope | Nurse Practitioner | 132 9th Ave N, St Petersburg, FL 33701-1814 | 2006-11-07 |
| 1487642963 | Reba E Shoenfelt | Nurse Practitioner | 7945 1st Ave S, St Petersburg, FL 33707-1019 | 2005-10-10 |
| 1033736418 | Connection Behavioral Health | Nurse Practitioner | 9800 4th St N Ste 200, St Petersburg, FL 33702-2462 | 2020-07-01 |
| 1558827014 | Chiara Williams | Nurse Practitioner | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2019-02-20 |
| 1972091221 | Anton M Dragonetti | Nurse Practitioner | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2018-04-23 |
| 1124484720 | Pedrita Rosenblatt Arnp LLC | Nurse Practitioner | 2021 66th Ave S, St Petersburg, FL 33712-5852 | 2016-01-12 |
| 1518367903 | Mary Patricia Rosario | Nurse Practitioner | 502 Pasadena Ave S, St Petersburg, FL 33707-2126 | 2014-09-04 |
| 1447659149 | Teresa L Cope Pllc | Nurse Practitioner | 132 9th Ave N, St Petersburg, FL 33701-1814 | 2014-08-19 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
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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.