KATHY ANN CLARK (NPI# 1306062435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306062435 |
| Entity Type | Individual |
| Full Name | KATHY ANN CLARK |
| Credential | L.P.N. |
| Practice Address |
7772 Williamson Ln Canal Winchester OH 43110-8524 |
| Practice Telephone | 6148378350 |
| Mailing Telephone | 6148378350 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.065411 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2117533 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255482618 | Kathy Ann Clark | Counselor | 504 Norfolk St, Apt 2, Holliston, MA 01746-2324 | 2007-01-14 |
| 1457909087 | Kathy Clark | Technician | 2865 S Jones Blvd, Las Vegas, NV 89146-5307 | 2019-08-27 |
| 1235619511 | Kathy Ann Clark | Physical Therapist | 785 Cherry Tree Ct, Hanover, PA 17331-7902 | 2018-08-16 |
| 1487062303 | Kathy Clark | Counselor | 18 Jackson St, Suite A, Newnan, GA 30263-1910 | 2014-07-23 |
| 1720404700 | Kathy Clark | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2014-03-13 |
| 1609120567 | Kathy Clark | Spec/Tech, Pathology | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2012-10-30 |
| 1861762361 | Kathy M Clark | Pharmacist | 1063 N Toledo Blade Blvd, North Port, FL 34288-2400 | 2011-12-31 |
| 1811107030 | Kathy Clark | Physical Therapy Assistant | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2007-05-23 |
| 1952304701 | Kathy S Clark | Radiology | 5901 Technology Center Dr, Indianapolis, IN 46278-6013 | 2005-05-24 |
| Street Address |
7772 WILLIAMSON LN |
| City | CANAL WINCHESTER |
| State | OH |
| Zip Code | 43110-8524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880219 | Edina Kaswoswe | Licensed Practical Nurse | 8928 Shady Woods Street, Canal Winchester, OH 43110 | 2017-09-27 |
| 1396268686 | Pristine Home Health Care LLC | Registered Nurse | 5571 Lehman Meadows Dr, Canal Winchester, OH 43110 | 2017-07-19 |
| 1982155313 | Dreama Boon | Home Health Aide | 5838 Canal Bridge Dr, Canal Winchester, OH 43110 | 2016-10-20 |
| 1356700736 | Kimberly Saunders | Social Worker | 4106 Coble Bowman Way, Canal Winchester, OH 43110 | 2016-02-15 |
| 1003207184 | Hearts In The Home | Home Health | 20 Fairfield Street, Canal Winchester, OH 43110 | 2015-02-11 |
| 1548660236 | Ashley Milligan | Specialist/Technologist | 4420 Sitterly Rd, Canal Winchester, OH 43110 | 2014-08-29 |
| 1215294442 | Francine E Ela | Registered Nurse | 7083 Weurful Drive, Canal Winchester, OH 43110 | 2012-04-12 |
| 1205102860 | Jonquil Natasha Currie | Licensed Practical Nurse | 3944 Blueglade Dr, Canal Winchester, OH 43110 | 2012-03-28 |
| 1942575543 | On Point Home Health Agency | Home Health | 4301 Bowman Park Ln, Canal Winchester, OH 43110 | 2012-03-14 |
| 1669769808 | Michelle Lynn Mayfield | Licensed Practical Nurse | 7441 Ida Way, Canal Winchester, OH 43110 | 2011-07-08 |
| Find all providers in zip 43110 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184276537 | Jamie Darlene Hodge | Licensed Practical Nurse | 5482 Piper Bend Dr, Canal Winchester, OH 43110-1297 | 2019-07-15 |
| 1386115475 | Renee Hickman | Licensed Practical Nurse | 6384 Brice Dale Dr, Canal Winchester, OH 43110-8583 | 2018-12-16 |
| 1104336825 | Wenceslous Kaswoswe | Licensed Practical Nurse | 8928 Shady Woods St, Canal Winchester, OH 43110-7973 | 2017-10-08 |
| 1659880219 | Edina Kaswoswe | Licensed Practical Nurse | 8928 Shady Woods Street, Canal Winchester, OH 43110 | 2017-09-27 |
| 1174054464 | Kristin Mccabe | Licensed Practical Nurse | 5655 Gender Rd, Canal Winchester, OH 43110-7702 | 2017-03-27 |
| 1336670850 | Stephanie Honore | Licensed Practical Nurse | 6066 Brook Bay Ct, Canal Winchester, OH 43110-8737 | 2017-03-26 |
| 1629518808 | Alisha Blackwell | Licensed Practical Nurse | 7856 Mountain Ash Ln, Canal Winchester, OH 43110-8196 | 2017-03-07 |
| 1700322419 | Latrice Tyus | Licensed Practical Nurse | 6470 Whims Rd, Canal Winchester, OH 43110-8578 | 2017-01-19 |
| 1023567351 | Stacy Bobb | Licensed Practical Nurse | 3731 Heath Trce, Canal Winchester, OH 43110-7703 | 2016-09-28 |
| 1316397227 | Onimi Ayodele | Licensed Practical Nurse | 3655 Heath Trce, Canal Winchester, OH 43110-7704 | 2016-06-21 |
| Find all providers in CANAL WINCHESTER | ||||
| City | CANAL WINCHESTER |
| Zip Code | 43110 |
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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.