CAROLYN B CLARK


Address: 1217 S East Ave Ste 104, Sarasota, FL 34239-2350
Phone: 9413650433

CAROLYN B CLARK (NPI# 1316933567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316933567
Entity Type Individual
Full Name CAROLYN B CLARK
Other Name CAROLYN BENNETT
Credential ARNP
Practice Address 1217 S East Ave Ste 104
Sarasota
FL 34239-2350
Mailing Address Po Box 5699
Sarasota
FL 34277-5699
Practice Telephone 9413650433
Practice Fax Number 9419542064
Mailing Telephone 9413650433
Mailing Fax Number 9419542064
Enumeration Date 2005-09-23
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP1360702 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL TAX ID 753072541 01

Other Providers CAROLYN CLARK

NPI Name Taxonomy Address Enumeration
1124429857 Carolyn Clark Nurse Practitioner 6010 Hidden Valley Rd Ste 115, Carlsbad, CA 92011-4219 2014-09-12
1679915664 Carolyn Gay Clark Nurse Practitioner 1232 Branson Hills Pkwy Ste 106, Branson, MO 65616-4189 2013-07-19
1932489184 Carolyn Kennedy Clark Acupuncturist 813 Ormond Ct, San Diego, CA 92109-7370 2011-08-19
1396061255 Carolyn A Clark Social Worker 150 California Dr, Yountville, CA 94599-1411 2010-04-15
1235274242 Carolyn E. Clark Obstetrics & Gynecology 1124 19th St, Huntington, WV 25701-3904 2007-02-20
1962416172 Carolyn R Clark Optometrist 800 Sw Alder St, Portland, OR 97205-3107 2006-07-27
1003434069 Carolyn Teresa Clark Registered Nurse 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2020-07-07
1215568118 Carolyn Clark Social Worker 60 O St Nw, Washington, DC 20001-1259 2020-01-29
1184108300 Carolyn Clark Social Worker 4150 Earhart Blvd, New Orleans, LA 70125-1955 2018-09-24
1336536036 Carolyn Chen Clark Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St, Seattle, WA 98195-2742 2015-04-20

Office Location

Street Address 1217 S EAST AVE STE 104
City SARASOTA
State FL
Zip Code 34239-2350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639655509 Meghan Powers Nurse Practitioner 1217 S East Ave Ste 104, Sarasota, FL 34239-2350 2018-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588203327 All-in-one Medical Clinic Chiropractor 3436 Bee Ridge Road, Sarasota, FL 34239 2019-12-26
1134782295 Kafayat Adebukola Busari Student in an Organized Health Care Education/Training Program Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 2019-04-15
1235600495 Karen Andrea Gonzalez Speech-Language Pathologist 1524 East Ave South, Sarasota, FL 34239 2018-12-16
1659852101 Tori Alexandra Phelps Behavioral Analyst 2324 Prospect Street, Sarasota, FL 34239 2018-08-23
1518450519 Love To Care4u Homecare Adult Companion 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 2018-06-13
1881119691 Life Awaits Acupuncture Acupuncturist 3030 S Tamiami Trail, Sarasota, FL 34239 2017-08-14
1275084600 Srq Acupuncture & Massage Acupuncturist 1810 South Tuttle Ave, Sarasota, FL 34239 2016-10-20
1609253178 Sumeet Bhanot Md Pa Otolaryngology 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 2015-05-04
1407246093 Rhett Ethan Bogacz Chiropractor 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 2015-02-03
1023436136 Sarah J. Somer Obstetrics & Gynecology 1921 Waldemere St Ste 307, Sarasota, FL 34239 2014-04-04
Find all providers in zip 34239

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659988871 Caleb Rose Nurse Practitioner 1852 Hillview St Ste 301, Sarasota, FL 34239-3638 2020-10-01
1043823214 Rachelle Ann Kutzko Nurse Practitioner 3333 Cattlemen Rd Ste 106, Sarasota, FL 34232-6057 2020-08-28
1003428707 Derek Jason Sisk Nurse Practitioner 3554 65th Avenue Cir E, Sarasota, FL 34243-4116 2020-08-24
1104437128 Heather Wicklund Nurse Practitioner 1626 Brookhouse Dr Unit 234, Sarasota, FL 34231-8982 2020-08-13
1205460540 Olga Nielsen Nurse Practitioner 1857 Oak Branch Dr, Sarasota, FL 34232-6658 2020-02-25
1194284737 Lori-ann T Luer Nurse Practitioner 3245 Old Oak Dr, Sarasota, FL 34239-5020 2019-03-13
1881150555 Steven Mazar Nurse Practitioner 5151 Old Ashwood Dr, Sarasota, FL 34233-3491 2019-02-18
1295204741 Beth Robin Domino Nurse Practitioner 700 Cocoanut Ave Unit 326, Sarasota, FL 34236-5063 2018-11-14
1235634700 Marathon Health LLC Nurse Practitioner 237 Payne Pkwy Unit 101, Sarasota, FL 34237-7018 2018-03-27
1861904567 Linda Suzanne Martell Nurse Practitioner 8383 S. Tamiami Trail, Suite 115, Sarasota, FL 34238-3046 2017-11-02
Find all providers in SARASOTA

Competitor

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City SARASOTA
Zip Code 34239

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Dataset Information

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.

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