CATHRYN CLARK (NPI# 1306257761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306257761 |
| Entity Type | Individual |
| Full Name | CATHRYN CLARK |
| Practice Address |
4131 Spicewood Springs Rd Suite C1 Austin TX 78759-8661 |
| Practice Telephone | 5128730700 |
| Practice Fax Number | 5123409908 |
| Mailing Telephone | 5128730700 |
| Mailing Fax Number | 5123409908 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-16605 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | IBLCE | L-16605 | 01 |
| Street Address |
4131 SPICEWOOD SPRINGS RD SUITE C1 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-8661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528053832 | Carolyn May Bates | Psychologist | 4131 Spicewood Springs Rd, K8, Austin, TX 78759-8661 | 2005-09-13 |
| 1053886234 | Whitney Alexander | Counselor | 4131 Spicewood Springs Rd, Austin, TX 78759-8661 | 2018-10-03 |
| 1275029373 | Ray Combs | Social Worker | 4131 Spicewood Springs Rd, Austin, TX 78759-8661 | 2018-07-02 |
| 1205371952 | Lauren Sinkar | Social Worker | 4131 Spicewood Springs Rd, Suite F-1, Austin, TX 78759-8661 | 2017-01-04 |
| 1235671504 | Amanda Jensen | Social Worker | 4131 Spicewood Springs Rd, Suite F1, Austin, TX 78759-8661 | 2016-11-17 |
| 1154773000 | Audrey Patricia Ogorman | Counselor | 4131 Spicewood Springs Rd, Building M, Unit 1, Austin, TX 78759 | 2016-07-04 |
| 1568819167 | Rachel Snyder | Acupuncturist | 4131 Spicewood Springs Rd, Building I, Suite 2, Austin, TX 78759-8661 | 2016-05-24 |
| 1619332384 | Sparkman Nutrition, LLC | Dietitian, Registered | 4131 Spicewood Springs Rd, Suite L4, Austin, TX 78759-8661 | 2015-12-23 |
| 1386017234 | Kara Hartzell | Social Worker | 4131 Spicewood Springs Rd, Suite N3, Austin, TX 78759-8661 | 2015-11-01 |
| 1710360904 | Sparkman Nutrition | Dietitian, Registered | 4131 Spicewood Springs Rd, Suite L-4, Austin, TX 78759-8661 | 2015-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700429636 | Patricia Lorena Sanchez-anacleto | Lactation Consultant, Non-RN | 111 Ramble Ln Ste 116, Austin, TX 78745-2281 | 2019-10-23 |
| 1740744325 | Katina M Wong | Lactation Consultant, Non-RN | 10619 Pluchea Cv, Austin, TX 78733-5721 | 2019-01-28 |
| 1689161101 | Sunayana Weber | Lactation Consultant, Non-RN | 11105 Maelin Dr, Austin, TX 78739-2052 | 2018-04-19 |
| 1679923692 | Laura Ruth Lamb | Lactation Consultant, Non-RN | 7308 Bucknell Dr, Austin, TX 78723-1632 | 2016-06-21 |
| 1689033300 | Kelly Yawn Langdon | Lactation Consultant, Non-RN | 7301 Burnet Rd Ste 200, Austin, TX 78757-2250 | 2016-02-23 |
| 1710350707 | Heather Ann Buquoi-ellison | Lactation Consultant, Non-RN | 4159 Steck Ave, Unit 111, Austin, TX 78759-8585 | 2015-11-12 |
| 1174909246 | Dawn K Martin | Lactation Consultant, Non-RN | 1405 Meadgreen Cir, Austin, TX 78758-4710 | 2015-07-30 |
| 1245645910 | Kristine Keller | Lactation Consultant, Non-RN | 5208 Dry Wells Rd, Austin, TX 78749-2233 | 2014-06-21 |
| 1164835526 | Tanja Knutson | Lactation Consultant, Non-RN | 2121 Sea Eagle Vw, Austin, TX 78738-5382 | 2014-06-03 |
| 1851703029 | Jennifer Gwyn | Lactation Consultant, Non-RN | 6918 Chinook Dr, Austin, TX 78736-1802 | 2014-05-22 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on CATHRYN 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.