MRS. CAROLYN MARIE CLARKE


Address: 4131 Central Ave, St Petersburg, FL 33713-8229
Phone: 7273273300

MRS. CAROLYN MARIE CLARKE (NPI# 1295942365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295942365
Entity Type Individual
Full Name MRS. CAROLYN MARIE CLARKE
Other Name MRS. CAROLYN MARIE KILLMER
Credential ARNP
Practice Address 4131 Central Ave
St Petersburg
FL 33713-8229
Mailing Address 2310 Ella Pl
Clearwater
FL 33765-2722
Practice Telephone 7273273300
Mailing Telephone 7274181241
Enumeration Date 2007-05-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP893022 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4131 CENTRAL AVE
City ST PETERSBURG
State FL
Zip Code 33713-8229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366698078 All Women's Health Center, Inc. Obstetrics & Gynecology 4131 Central Ave, St Petersburg, FL 33713-8229 2008-08-13
1609022771 All Women's Health Center, Inc. Obstetrics & Gynecology 4131 Central Ave, St Petersburg, FL 33713-8229 2008-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073122230 Busy Bee Aba Therapy LLC Assistant Behavior Analyst 441 33rd Street North #407, St. Petersburg, FL 33713 2020-07-23
1902428899 Taylor Lorraine Fowler Behavior Technician 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 2020-05-13
1770120180 Mai Family and Sedation Dentistry, Pa Dentist 495 31st Street North, St. Petersburg, FL 33713 2019-12-04
1932672524 Julie Marlowe Gilbert Dermatology 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 2019-01-07
1962992024 Lauren Elizabeth Oloughlin Nurse Practitioner 1001 37th St N Ste C, St Petersburg, FL 33713 2018-05-15
1447766316 Melanie Marie Byrne Assistant Behavior Analyst 5185 45th St N, Bldg C, St. Petersburg, FL 33713 2017-12-14
1942679683 Teresa E Peak Physician Assistant 2191 9th Ave N St 220, St. Petersburg, FL 33713 2015-09-23
1639555204 Priya Panara Internal Medicine 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 2015-08-06
1730568635 Kevin Michael Carbonell Dentist 3863 Central Avenue, Saint Petersburg, FL 33713 2015-05-26
1558752972 Sage Program, LLC Community/Behavioral Health 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 2015-02-06
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255815460 Kathryn Marcino Nurse Practitioner 10901 Brighton Bay Blvd Ne Apt 3113, St Petersburg, FL 33716-3450 2018-09-24
1962992024 Lauren Elizabeth Oloughlin Nurse Practitioner 1001 37th St N Ste C, St Petersburg, FL 33713 2018-05-15
1487151155 Marathon Health LLC Nurse Practitioner 880 Carillon Pkwy, St Petersburg, FL 33716-1102 2018-04-10
1619417169 Elethia Faith Garvey-morris Nurse Practitioner 901 58th Ave S, St Petersburg, FL 33705-5033 2017-03-02
1346607116 Inna Anderson Nurse Practitioner 6294 Bahia Del Mar Cir Apt 401, Unit 401, St Petersburg, FL 33715-1086 2016-01-25
1962754531 Edward F Mccullough Nurse Practitioner 2852 66th St N, St Petersburg, FL 33710-3127 2012-10-08
1932451507 Psychiatric Behavioral Services, Inc Nurse Practitioner 6161 Dr Martin L King St N, Ste 102, St Petersburg, FL 33703-1104 2012-10-08
1427321454 Mary M. O'brien Nurse Practitioner 2525 Pasadena Avenue S, Suite 5, St Petersburg, FL 33707-4559 2012-02-22
1164582615 Linda Diane Renshaw Nurse Practitioner 3050 1st Ave S, St Petersburg, FL 33712-1010 2006-12-12
1619082252 Joseph Dominic Willis Nurse Practitioner 10974 54th Ave N, St Petersburg, FL 33708-2943 2006-08-21
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Competitor

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City ST PETERSBURG
Zip Code 33713

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Dataset Information

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.

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