CHARLOTTE A. CLARK (NPI# 1316298797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316298797 |
| Entity Type | Individual |
| Full Name | CHARLOTTE A. CLARK |
| Practice Address |
700 Se Cross St Mount Sterling IL 62353-1561 |
| Practice Telephone | 2177733325 |
| Practice Fax Number | 2177732425 |
| Mailing Telephone | 2177733325 |
| Mailing Fax Number | 2177732425 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043.070144 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163549 | Charlotte Sue Clark | In Home Supportive Care | 47438 National Rd, Saint Clairsville, OH 43950-8804 | 2020-10-29 |
| 1578826491 | Charlotte Allegra Clark | Social Worker | 8 Burke St Apt 151, South Boston, MA 02127-3328 | 2012-06-18 |
| 1699374306 | Charlotte Jean Clark | Pharmacist | 1600 E Jackson St, Macomb, IL 61455-2530 | 2020-10-22 |
| 1295219822 | Charlotte S Clark | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-09-19 |
| 1497232623 | Charlotte Anne Clark | Speech-Language Pathologist | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2018-07-20 |
| 1386875128 | Charlotte Ann Clark | Family Medicine | 730 E 2nd St, Apt. 3, Winona, MN 55987-4400 | 2009-07-28 |
| 1891920682 | Charlotte M Clark | Internal Medicine | 400 Webster Ave, New Rochelle, NY 10801-3206 | 2009-05-21 |
| Street Address |
700 SE CROSS ST |
| City | MOUNT STERLING |
| State | IL |
| Zip Code | 62353-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831319664 | Nicholas Skinner | Counselor | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2007-04-26 |
| 1174142400 | Lindsay Moser | Counselor | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2020-04-16 |
| 1861900573 | Terri Clayton | Counselor | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2018-01-16 |
| 1598112005 | Morgan Kennedy | Counselor | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2016-05-16 |
| 1497119812 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2016-04-12 |
| 1912308941 | Kelsey Dean | Counselor | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2014-09-09 |
| 1356784300 | Jasmine Sommer | Counselor | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2013-04-09 |
| 1649512203 | Emily Panich | Counselor | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2013-03-21 |
| 1598018947 | Judith K. Dunmire | Licensed Practical Nurse | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2012-10-23 |
| 1316299225 | Alyssa S Martin | Social Worker | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2012-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740827856 | Madeline Nichole Weber | Technician | 319 Fairground, Apartment 12, Mount Sterling, IL 62353 | 2019-12-09 |
| 1871851816 | Tamar Montoya-albrecht | Occupational Therapist | 215 W. Pennsylvannia Ave, Staunton, IL 62353 | 2012-04-27 |
| 1871885541 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 510 Curry Lane, Mount Sterling, IL 62353 | 2011-05-12 |
| 1508068453 | Apex Physical Therapy, LLC | Clinic/Center | Route 99 South, Mt Sterling, IL 62353 | 2007-06-04 |
| 1164642062 | Beth Stephens | Counselor | 700 Se Cross, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| 1205056090 | Jeri Howell | Counselor | 210 Country Lane, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| 1558451716 | Mental Health Centers of Western Illinois | Clinic/Center | 700 Se Cross Street, Mt Sterling, IL 62353 | 2006-10-16 |
| 1588771786 | Mount Sterling Dental Center, P.C. | Dentist | 839 Route 24, West, Mount Sterling, IL 62353 | 2006-08-24 |
| 1346452489 | Sean Eifert | Counselor | 700 Se Cross, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-05-03 |
| 1063632859 | Michael L Jersey | Counselor | 700 Se Cross, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| Find all providers in zip 62353 | ||||
| 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 |
|---|---|---|---|---|
| 1770855736 | Misty Dionne Bogumill | Licensed Practical Nurse | 12585 Us Highway 62 Ne, Mount Sterling, OH 43143-9658 | 2012-02-06 |
| 1598018947 | Judith K. Dunmire | Licensed Practical Nurse | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1063025781 | Austin Grant | Licensed Practical Nurse | 205 Joplin St, Benton, IL 62812-2023 | 2020-08-24 |
| 1518570233 | Titilayo Ayeni-sode | Licensed Practical Nurse | 23025 Amber Ln, Richton Park, IL 60471-1281 | 2020-08-24 |
| 1477164929 | Monique L Lee | Licensed Practical Nurse | 8528 S Exchange Ave # 2, Chicago, IL 60617-2541 | 2020-08-10 |
| 1619597291 | Robin Wilson | Licensed Practical Nurse | 842 S 18th Ave, Maywood, IL 60153-1706 | 2020-04-23 |
| 1790319630 | Krystle Ekhoff | Licensed Practical Nurse | 9108 S Troy Ave, Evergreen Park, IL 60805-1628 | 2020-03-01 |
| 1932732237 | Robina Renee Williams | Licensed Practical Nurse | 16313 Turner Ave, Markham, IL 60428-5446 | 2020-02-15 |
| 1417589649 | Lataunja Parese Weaver | Licensed Practical Nurse | 7436 S Ellis Ave, Chicago, IL 60619-2032 | 2020-02-05 |
| 1124667621 | Jacquelyn Cooper | Licensed Practical Nurse | 230 N Lind Ave, Hillside, IL 60162-1538 | 2019-12-31 |
| 1699312587 | Kristi Ann Pittman-spero | Licensed Practical Nurse | 101 N Jefferson Ave, Bradley, IL 60915-1829 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT STERLING |
| Zip Code | 62353 |
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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.