SOMMER C CLARK (NPI# 1336382282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336382282 |
| Entity Type | Individual |
| Full Name | SOMMER C CLARK |
| Credential | MSN, CPNP |
| Practice Address |
3411 Graystone Pl Se Conover NC 28613-8200 |
| Mailing Address |
Po Box 1347 Hickory NC 28603-1347 |
| Practice Telephone | 8283281118 |
| Practice Fax Number | 8283281119 |
| Mailing Telephone | 8283281118 |
| Mailing Fax Number | 8283281119 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0050-02019 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932598174 | Sommer Clark | Nurse Practitioner | 460 Mall Blvd, Savannah, GA 31406-4801 | 2015-01-12 |
| Street Address |
3411 GRAYSTONE PL SE |
| City | CONOVER |
| State | NC |
| Zip Code | 28613-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073569042 | Barbara A Colosimo | Pediatrics | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2006-05-25 |
| 1437704392 | Ashley Minton Cooper | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2019-08-07 |
| 1174088306 | Alexis Marie Pagnatta | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2019-02-01 |
| 1124528401 | Gretchen Elizabeth Weeks | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2018-02-13 |
| 1356720114 | Evina Lustria Nonato | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2015-05-27 |
| 1639562143 | Lauren Johnson Mcfarland | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2015-03-07 |
| 1407099369 | Angela R Allen-helms | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2009-04-08 |
| 1982840286 | Karen Ellen Thomisee Leasure | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2008-12-17 |
| 1770782450 | Unifour Pediatrics, Pa | Pediatrics | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2007-07-13 |
| 1659496271 | Elizabeth Edwards Sheeks | Dietitian, Registered | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258671 | Samantha Lackey | Hearing Instrument Specialist | 1217-f Nc Highway 16, Conover, NC 28613 | 2020-09-03 |
| 1497313381 | Gjulshana Nurceski | Internal Medicine | 203 1st St East, Conover, NC 28613 | 2019-06-05 |
| 1487162384 | Anthony T Hines | Counselor | 6055 St. Peters Church Road, Conover, NC 28613 | 2018-01-14 |
| 1780195693 | Healthstat Onsite Clinic Hsm Conover | Preventive Medicine | 120 Section House Road, Conover, NC 28613 | 2017-10-18 |
| 1487055612 | Kave Nikbakht | Pharmacist | 201 Zelkova Ct., Wal-mart Pharmacy, Conover, NC 28613 | 2014-09-08 |
| 1326457003 | Michelle Lynn Kirby | Pharmacist | 126 1st Avenue South, Conover, NC 28613 | 2014-08-07 |
| 1255676904 | Norris Franklin Buff | Pharmacist | 498 6th Ave Ne, Conover, NC 28613 | 2012-12-06 |
| 1043560964 | Nicole Elizabeth Flinn | Pharmacist | 508 K 10th Street Nw, Conover, NC 28613 | 2012-09-18 |
| 1508115171 | Jannie Sue Phillips | Occupational Therapist | 2917 14th Ave Ne, Conover, NC 28613 | 2012-08-29 |
| 1861792707 | Susan Kochel Pearce | Physical Therapist | 2372 Eagle Drive, New Beginnings Pediatric Therapy, LLC, Conover, NC 28613 | 2010-10-26 |
| Find all providers in zip 28613 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704392 | Ashley Minton Cooper | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2019-08-07 |
| 1174088306 | Alexis Marie Pagnatta | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2019-02-01 |
| 1124528401 | Gretchen Elizabeth Weeks | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2018-02-13 |
| 1356720114 | Evina Lustria Nonato | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2015-05-27 |
| 1639562143 | Lauren Johnson Mcfarland | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2015-03-07 |
| 1982840286 | Karen Ellen Thomisee Leasure | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2008-12-17 |
| 1407935174 | Elizabeth R Osbahr | Nurse Practitioner | 1007 1st Ave S, Conover, NC 28613-2744 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
| 1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
| 1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
| 1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
| 1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
| 1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
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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.