RACHEL L CLARK (NPI# 1316304975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316304975 |
| Entity Type | Individual |
| Full Name | RACHEL L CLARK |
| Credential | MSN, RN, CPNP-PC |
| Practice Address |
1375 W Green St Ste 3 Hastings MI 49058-1708 |
| Mailing Address |
1341 Colorado Ave Se Grand Rapids MI 49506-3917 |
| Practice Telephone | 2698180070 |
| Mailing Telephone | 6164058556 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704336827 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1029 W Main St, Suite M, Lebanon, TN 370873351 | 6154531252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153429 | Rachel Anne Clark | Nurse Practitioner | 6390 County Road 10, Zanesfield, OH 43360-9773 | 2020-08-04 |
| 1871068965 | Rachel Annette Clark | Advanced Practice Midwife | 1111 Old Railroad Bed Rd # 23, Taft, TN 38488-9998 | 2018-10-04 |
| 1306376843 | Rachel Clark | Social Worker | 2235 12th St Apt F146, Idaho Falls, ID 83404-5743 | 2017-06-18 |
| 1780122531 | Rachel Clark | Chiropractor | 10300 Campus Point Dr, San Diego, CA 92121 | 2017-02-01 |
| 1316320450 | Rachel Clark | Behavioral Analyst | 1508 Sun Valley Rd Se, Huntsville, AL 35801-2101 | 2015-07-07 |
| 1356730501 | Rachel Claire Clark | Social Worker | 206 Reily Street, Harrisburg, PA 17102 | 2015-01-12 |
| 1346500766 | Rachel Elaine Clark | Counselor | 1351 Newtown Pike, Bldg 4, Lexington, KY 40511 | 2012-05-18 |
| 1295928810 | Rachel Clark | Physical Therapist | 970 Monument St Ste 270, Pacific Palisades, CA 90272-3800 | 2007-08-27 |
| 1871100255 | Rachel Louise Clark | Licensed Practical Nurse | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2020-09-29 |
| 1619591849 | Rachel Clark | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-03 |
| Street Address |
1375 W GREEN ST STE 3 |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679133086 | Stephanie Louise Sargent | Pediatrics | 1375 W Green St Ste 3, Hastings, MI 49058-1718 | 2019-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886400 | Jessica Anne Peacock | Nurse Practitioner | 300 Meadow Run Dr, Hastings, MI 49058-9048 | 2018-10-01 |
| 1467811240 | Ashley Marie Gielarowski | Nurse Practitioner | 300 Meadow Run Dr, Hastings, MI 49058-9048 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991061 | Sarah Elizabeth Barber | Nurse Practitioner | 12918 Lake Point Pass, Van Buren Twp, MI 48111-2243 | 2020-10-27 |
| 1730700881 | Kelsey Olinik | Nurse Practitioner | 22200 Barclay Dr, Novi, MI 48374-3874 | 2020-04-29 |
| 1467080705 | Jessica Nicole Heichel | Nurse Practitioner | 7729 Brass Creek Ct, Dexter, MI 48130-9384 | 2020-03-31 |
| 1114550506 | Katlyn Roberts | Nurse Practitioner | 60160 E 8 Mile Rd, South Lyon, MI 48178-9768 | 2020-02-13 |
| 1093351595 | Emily Janina Jamett | Nurse Practitioner | 31815 Southfield Rd Ste 10, Beverly Hills, MI 48025-5471 | 2019-11-20 |
| 1508410747 | Clorissa Diedrich | Nurse Practitioner | 829 N Center Ave Ste 130, Gaylord, MI 49735-1684 | 2019-07-25 |
| 1255895355 | Jessica Lynn Kata | Nurse Practitioner | 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236-2857 | 2019-01-23 |
| 1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
| 1285120634 | Alexandra Danko | Nurse Practitioner | 5500 Auto Club Dr Ste 160, Dearborn, MI 48126-2779 | 2018-07-09 |
| 1417442617 | Shelby Fredricks | Nurse Practitioner | 1205 S Mission St Ste 4, Mount Pleasant, MI 48858-3939 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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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.