ELIZABETH CLARK (NPI# 1316368848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316368848 |
Entity Type | Individual |
Full Name | ELIZABETH CLARK |
Credential | CRNP |
Practice Address |
1630 E High St Bldg 4 Pottstown PA 19464-3244 |
Practice Telephone | 6103271631 |
Practice Fax Number | 6103271199 |
Mailing Telephone | 6103271631 |
Mailing Fax Number | 6103271199 |
Enumeration Date | 2013-12-31 |
Last Update Date | 2015-03-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP013560 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
1346604584 | Elizabeth Ann Clark | Nurse Practitioner | 32 Allen Ct, Staten Island, NY 10310-2703 | 2016-04-13 |
1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
1477946770 | Elizabeth Clark | Counselor | 1250 Route 171, Woodstock, CT 06281-2127 | 2015-03-10 |
1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
Street Address |
1630 E HIGH ST BLDG 4 |
City | POTTSTOWN |
State | PA |
Zip Code | 19464-3244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184628786 | John L. Lignelli | Dentist | 1630 E High St, Bldg 4, Pottstown, PA 19464-3244 | 2005-06-10 |
1780054064 | Shelle Savill | Counselor | 1630 E High St, Building 4, Pottstown, PA 19464-3244 | 2015-09-30 |
1285953299 | Erica D Soderberg | Social Worker | 1630 E High St, Bldg 4, Pottstown, PA 19464-3244 | 2010-06-01 |
1316163397 | John L. Lignelli II | Dentist | 1630 E High St, Bld #4, Pottstown, PA 19464-3244 | 2007-04-18 |
1821027376 | Yong Shik Shin Md and Associates LLC | Counselor | 1630 E High St, Bldg #4, Pottstown, PA 19464-3244 | 2006-06-30 |
1215932181 | Anthony M Denicco | Dentist | 1630 E High St, Bldg 4, Pottstown, PA 19464-3244 | 2005-06-16 |
1063416675 | Paul G Smith | Dentist | 1630 E High St, Bldg 4, Pottstown, PA 19464-3244 | 2005-06-10 |
1285638817 | Pottstown Oral & Maxillofacial Surgery Assoc. Inc | Dentist | 1630 E High St, Bldg 4, Pottstown, PA 19464-3244 | 2005-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
Find all providers in zip 19464 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164077384 | Kimberlie Ann Taylor | Nurse Practitioner | 404 E High St, Pottstown, PA 19464-5622 | 2019-08-05 |
1225582497 | Ann Defrangesco | Nurse Practitioner | 1600 E High St, Pottstown, PA 19464-5008 | 2016-08-05 |
1205206463 | Jillian Hagerich | Nurse Practitioner | 404 E High St, Pottstown, PA 19464-5622 | 2015-09-30 |
1043619927 | Jerome Weber | Nurse Practitioner | 1600 E High St, Pottstown, PA 19464-5008 | 2014-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
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.