NATHANIEL CLARK (NPI# 1295270346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295270346 |
| Entity Type | Individual |
| Full Name | NATHANIEL CLARK |
| Credential | APRN-CRNA |
| Practice Address |
1000 Pole Creek Xing Sidney NE 69162-2901 |
| Practice Telephone | 3082545825 |
| Mailing Telephone | 3082545825 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 101380 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891092516 | Nathaniel Robert Clark | Nurse Anesthetist, Certified Registered | Naval Hospital 6000 West Hwy 98, Pensacola, FL 32512-0003 | 2011-02-15 |
| 1144712035 | Nathaniel Clark | Optometrist | 105 S Raceway Rd, Indianapolis, IN 46231-1414 | 2018-06-05 |
| 1891155792 | Nathaniel P Clark | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2016-03-04 |
| 1063660074 | Nathaniel Clark | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2008-09-03 |
| 1386687234 | Nathaniel G Clark | Internal Medicine | 433 W Main St, Hyannis, MA 02601-3644 | 2006-06-14 |
| 1528034675 | Nathaniel Clark | Psychiatry & Neurology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-02-28 |
| 1144291360 | Nathaniel Wise Clark | Emergency Medicine | 201 16th Ave E, Seattle, WA 98112-5226 | 2006-01-27 |
| Street Address |
1000 POLE CREEK XING |
| City | SIDNEY |
| State | NE |
| Zip Code | 69162-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730187386 | Kolette L Smith | Internal Medicine | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2005-07-08 |
| 1740895952 | Cheyenne County Hospital Association Inc | Pharmacy | 1000 Pole Creek Xing, Sidney, NE 69162-2900 | 2020-09-14 |
| 1538790704 | Poudre Valley Medical Group, LLC | Internal Medicine | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2020-01-28 |
| 1003447194 | Sabra D Peetz | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2020-01-28 |
| 1124594163 | Stacey Mitlehner | Physical Therapy Assistant | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2018-10-17 |
| 1265914014 | Emily Johnson | Pharmacist | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2018-08-29 |
| 1497234926 | John Patrick Mildenberger | Pharmacist | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2018-08-07 |
| 1619405263 | Kory Krahl | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2017-05-26 |
| 1821543372 | Andrew Stieb | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2016-08-24 |
| 1396192324 | Jamie Rezac | Occupational Therapist | 1000 Pole Creek Xing, Rehabilitation, Sidney, NE 69162-2901 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192207 | Sheila Howard | Counselor | 1516 1/2 10th Ave, Sidney, NE 69162 | 2015-04-24 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1386704252 | Nancy Kay Bradford | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-11 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1518070507 | David J Peckham | Dentist | 1133 Jackson, Sidney, NE 69162 | 2006-08-16 |
| 1578571527 | Carl John Cornelius Jr. | Family Medicine | 1116 10th Avenue, Sidney, NE 69162 | 2006-08-04 |
| 1992130751 | Kristen E Rose | Counselor | 1000 Pole Creek Crossing, Sidney, NE 69162 | 2013-09-11 |
| 1366504367 | Debra Jean Loveless | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-15 |
| 1376504357 | Stephanie L Green | Nurse Practitioner | 1000 Pole Creek Xing Ste 1, Sidney, NE 69162 | 2006-03-30 |
| 1528330099 | Tara Rachel Turner | Licensed Practical Nurse | 1929 Dodge St, Sidney, NE 69162-1042 | 2012-01-31 |
| Find all providers in zip 69162 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1326041807 | Robert Lee Barrett Jr. | Nurse Anesthetist, Certified Registered | 2980 3rd St Nw, D7, Sidney, MT 59270-5810 | 2005-05-27 |
| 1184190001 | R&p Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1118 Fairington Dr, Sidney, OH 45365-8913 | 2018-10-18 |
| 1619405263 | Kory Krahl | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2017-05-26 |
| 1295151025 | Craig S Sandberg | Nurse Anesthetist, Certified Registered | 645 Osage St, Sidney Regional Medical Center, Sidney, NE 69162-1714 | 2014-03-18 |
| 1417278086 | Michael Shane Murphy | Nurse Anesthetist, Certified Registered | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2010-06-18 |
| 1972738987 | John Bruce Fortner Jr. | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Crossing, Sidney, NE 69162-2900 | 2009-05-19 |
| 1952313843 | Thomas Dale Spiers Jr. | Nurse Anesthetist, Certified Registered | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-08-12 |
| 1275558199 | Bradley Lynn Strupp | Nurse Anesthetist, Certified Registered | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-07-13 |
| 1346272184 | David P Brown | Nurse Anesthetist, Certified Registered | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-07-06 |
| Find all providers in SIDNEY | ||||
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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.