MS. MEREDITH CLARK (NPI# 1316962715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316962715 |
| Entity Type | Individual |
| Full Name | MS. MEREDITH CLARK |
| Credential | ATC |
| Practice Address |
41 Fairpoint Dr Ste B Gulf Breeze FL 32561-4380 |
| Mailing Address |
8200 Sharkhead Cir Pensacola FL 32514-6731 |
| Practice Telephone | 8509169777 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL1607 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245624287 | Meredith Clark | Psychiatry & Neurology | 152 West Street, Danbury, CT 06810-6361 | 2015-03-27 |
| 1063735504 | Meredith Renae Clark | Nurse Practitioner | 605 Cotton St, Winston Salem, NC 27101-5080 | 2010-03-11 |
| 1760091409 | Meredith Clark | Dentist | 7101 Hoff St, Fort Benning, GA 31905-5645 | 2020-07-29 |
| 1124689096 | Meredith Rose Clark | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 238, Aurora, CO 80014-2622 | 2019-06-21 |
| 1124382601 | Meredith Katherine Clark | Optometrist | 920 Revolution St, Havre De Grace, MD 21078-3748 | 2012-06-28 |
| 1710295225 | Meredith Clark | Nurse Practitioner | 8000 Ravines Edge Ct Ste 200, Columbus, OH 43235-5422 | 2010-09-17 |
| 1396051397 | Meredith Hoffman Clark | Occupational Therapist | 127 S Broadway, St Josephs Medical Center, Stein Center 6, Yonkers, NY 10701 | 2010-08-27 |
| 1396853198 | Meredith Clark | Dentist | 2160 Hendersonville Rd, Arden, NC 28704 | 2006-08-29 |
| Street Address |
41 FAIRPOINT DR STE B |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-4380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053336446 | Scott R Morrison | Specialist/Technologist | 41 Fairpoint Dr Ste B, Gulf Breeze, FL 32561-4380 | 2006-07-13 |
| 1619027786 | Richard G Sellers Md Pa | Orthopaedic Surgery | 41 Fairpoint Dr Ste B, Gulf Breeze, FL 32561-4380 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| Find all providers in zip 32561 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689151540 | Kendall Alina Rosebrock | Specialist/Technologist | 321 Valencia St, Gulf Breeze, FL 32561-4031 | 2018-07-24 |
| 1740791185 | Dylan M Dewey | Specialist/Technologist | 327 Andrew Jackson Trl, Gulf Breeze, FL 32561-4412 | 2017-10-12 |
| 1154798056 | Katherine Mckenzie | Specialist/Technologist | 1040 Gulf Breeze Pkwy Ste 210, Gulf Breeze, FL 32561-7808 | 2015-08-26 |
| 1518367341 | Allison Johnson | Specialist/Technologist | 9 Beach Dr, Gulf Breeze, FL 32561-4101 | 2014-08-28 |
| 1881000396 | Chelsey Adams | Specialist/Technologist | 3410 Hillside Ave, Gulf Breeze, FL 32563-3320 | 2014-07-03 |
| 1053336446 | Scott R Morrison | Specialist/Technologist | 41 Fairpoint Dr Ste B, Gulf Breeze, FL 32561-4380 | 2006-07-13 |
| 1184232696 | Mary Catherine Ray | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-07-21 |
| 1740805902 | Ginger Christina Bogan | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-06-13 |
| 1528682119 | Charles Alan Ray | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-7809 | 2020-05-30 |
| 1730666850 | Amanda Nystrom | Specialist/Technologist | 1040 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 | 2018-07-21 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
Please comment or provide details below to improve the information on MS. MEREDITH 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.