TRACY LYNN CLARK (NPI# 1366771750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366771750 |
Entity Type | Individual |
Full Name | TRACY LYNN CLARK |
Practice Address |
2 Backus St Rochester NY 14608 |
Mailing Address |
2 Backus St Rochester NY 14608-1019 |
Practice Telephone | 5856471314 |
Mailing Telephone | 5856471314 |
Enumeration Date | 2009-12-14 |
Last Update Date | 2012-10-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 292811-1 | NY | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013386085 | Tracy Ann Clark | Hearing Instrument Specialist | 3389 W Woolbright Rd, Suite A, Boynton Beach, FL 33436-7245 | 2015-09-21 |
1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
1831103522 | Tracy Clark | Social Worker | 50 Cypress Dr, Glenville, NY 12302-4344 | 2006-07-28 |
1104387687 | Tracy Clark Jr. | Behavior Technician | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2019-03-27 |
1174011670 | Tracy Clark | Behavior Technician | 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 | 2018-04-30 |
1356856801 | Tracy Michelle Clark | Social Worker | 430 Niagara St, Buffalo, NY 14201-1886 | 2017-12-06 |
1477907368 | Tracy Clark | Counselor | 1406 Esplanade Ave, New Orleans, LA 70116-1803 | 2016-04-18 |
1952793051 | Tracy Manning Clark | Dentist | 1500 S Dairy Ashford Rd, Ste. 114, Houston, TX 77077-3854 | 2015-02-26 |
1922433473 | Tracy Sue Clark | Pharmacist | 7425 Wrigley Dr, Ste 104, Pasco, WA 99301-5292 | 2013-09-03 |
1770883977 | Tracy Ann Clark | Nurse Anesthetist, Certified Registered | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2010-10-22 |
Street Address |
2 BACKUS ST |
City | ROCHESTER |
State | NY |
Zip Code | 14608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588138184 | Starzom, LLC | Transportation Broker | 803 South Plymouth Avenue, Rochester, NY 14608 | 2019-01-16 |
1750864500 | Nikki Haynesworth | Counselor | 394 Frederick Douglass St., Rochester, NY 14608 | 2018-09-07 |
1639614498 | Atiya Abdus-samad | Technician | 104 Cady Street, Rochester, NY 14608 | 2017-01-03 |
1467806703 | Beverley Adams | Licensed Practical Nurse | 200 Frost Avenue, Rochester, NY 14608 | 2016-04-22 |
1497114037 | Amanda Martinez | Licensed Practical Nurse | 125 Minnesota St, Rochester, NY 14608 | 2016-02-10 |
1033397252 | Tracy Stevens | Registered Nurse | 280 Seward Street, Rochester, NY 14608 | 2008-02-11 |
1578653929 | Amy L Archer | Social Worker | 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 | 2006-10-14 |
1902906233 | Kevin M Mcintyre | Psychiatry & Neurology | 81 Lake Ave., Rochester, NY 14608 | 2006-09-25 |
1427088913 | Steven M Ess | Chiropractor | 309 Exchange Blvd, Rochester, NY 14608 | 2006-07-03 |
1588147334 | Sarah Theresa Lamb | Counselor | 55 Troup St, Rochester, NY 14608 | 2018-09-07 |
Find all providers in zip 14608 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
1992305775 | Sharee Walker | Licensed Practical Nurse | 145 Atlantic Ave, Rochester, NY 14607-1205 | 2020-10-29 |
1932708401 | Tatyanna Greene | Licensed Practical Nurse | 160 Calm Lake Cir Apt C, Rochester, NY 14612-2512 | 2020-10-25 |
1750989158 | Toni Foster | Licensed Practical Nurse | 72 Melrose St, Rochester, NY 14619-1802 | 2020-10-16 |
1861090474 | Jovon C Johnson | Licensed Practical Nurse | 24 Alfie Dr, Rochester, NY 14623-3602 | 2020-10-15 |
1124626031 | Heavenlee Joy Henderson | Licensed Practical Nurse | 61 Farleigh Ave, Rochester, NY 14606-2007 | 2020-10-13 |
1245838259 | Sherree Daniella Holloway | Licensed Practical Nurse | 156 Normandy Ave, Rochester, NY 14619-1132 | 2020-10-12 |
1912505173 | Robin R Graham | Licensed Practical Nurse | 70 Devon Rd, Rochester, NY 14619-2402 | 2020-10-10 |
1568060705 | Jasmine Daja Shannay Vick | Licensed Practical Nurse | 619 Arnett Blvd, Rochester, NY 14619-1308 | 2020-10-10 |
1790383925 | Nikki Pickett | Licensed Practical Nurse | 118 Hazelwood Ter, Rochester, NY 14609-5133 | 2020-10-10 |
Find all providers in ROCHESTER |
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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.