BONNIE CLARK (NPI# 1376672428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376672428 |
| Entity Type | Individual |
| Full Name | BONNIE CLARK |
| Credential | LPN |
| Practice Address |
1680 Walden Ave Cheektowaga NY 14225-4914 |
| Mailing Address |
162 Sturges St Jamestown NY 14701-3233 |
| Practice Telephone | 7168947777 |
| Mailing Telephone | 7164842153 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 217217 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104173822 | Bonnie J Clark | Licensed Practical Nurse | 47 Caton Rd, Corning, NY 14830-3741 | 2012-08-13 |
| 1306134341 | Bonnie Kathleen Clark | Physical Therapist | 197 E Broadway St, Danville, IN 46122-1803 | 2011-07-12 |
| 1063563310 | Bonnie L Clark | Nurse Practitioner | 5 Silver Rdg, Veazie, ME 04401-7086 | 2007-01-15 |
| 1710074570 | Bonnie Lou Clark | Nurse Practitioner | 200 East Main Avenue, Suite 202, Bismarck, ND 58501 | 2006-10-05 |
| 1063989960 | Bonnie Clark | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2018-10-29 |
| 1831472133 | Bonnie Lou Clark | Nurse Practitioner | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2011-09-22 |
| 1306124540 | Bonnie Clark | Pharmacist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2011-07-21 |
| 1770700130 | Bonnie Clark | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2007-04-19 |
| 1154355204 | Bonnie B Clark | Nurse Practitioner | 1380 E Medical Center Dr, Suite 1500, St George, UT 84790-2123 | 2006-07-11 |
| 1508899170 | Bonnie Clark | Physician Assistant | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2006-07-08 |
| Street Address |
1680 WALDEN AVE |
| City | CHEEKTOWAGA |
| State | NY |
| Zip Code | 14225-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841384906 | Aftercare Nursing Services, Inc. | Home Health | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2006-10-03 |
| 1568087849 | Andrea Ann Doll | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2020-06-11 |
| 1609490754 | Kelli Anne Lafler | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2020-06-04 |
| 1366073652 | Patricia Ann Gallisdorfer | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2020-01-27 |
| 1164987095 | Mary Sharp | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2019-02-05 |
| 1831692094 | Katherine Davis | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2018-03-14 |
| 1700389194 | Elizabeth Ferro | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2018-03-13 |
| 1558861179 | Ashley Miles | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2018-02-20 |
| 1902306541 | Terrhonda Mcclaney | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2018-02-20 |
| 1902304892 | Eleanore Weppler | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2018-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
| 1609498138 | Schulz, Adult Health Np, Pllc | Nurse Practitioner | 678 Cleveland Drive, Cheektowaga, NY 14225 | 2020-05-06 |
| 1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
| 1114441284 | Michael P Gugliuzza | Emergency Medical Technician, Paramedic | 239 Westbook Dr, Cheektowaga, NY 14225 | 2017-08-01 |
| 1841720307 | Buffalo Dental Implant | Dentist | 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 | 2017-06-18 |
| 1396279741 | Jacob Habermehl | Specialist/Technologist | 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 | 2017-04-12 |
| 1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
| 1881040244 | Amanda Sanders | Licensed Practical Nurse | 21 Kingswood Dr, Cheektowaga, NY 14225 | 2016-05-04 |
| 1255748638 | Valerie Knowles | Licensed Practical Nurse | 3527 Harlem Road, Cheektowaga, NY 14225 | 2014-07-17 |
| 1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
| Find all providers in zip 14225 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992272314 | Elsie Dume | Licensed Psychiatric Technician | 188 Cumberland St, Mastic, NY 11950-4704 | 2018-10-24 |
| 1649665647 | Leroy Lloyd Farrell | Licensed Psychiatric Technician | 13712 Hook Creek Blvd, Rosedale, NY 11422-1814 | 2015-04-06 |
| 1477945053 | Maxine Mclean | Licensed Psychiatric Technician | 31 Grandview Ave, Mount Vernon, NY 10553-1311 | 2015-02-19 |
| 1467854364 | Arlene Georges | Licensed Psychiatric Technician | 701 Avenue C Apt 6c, Brooklyn, NY 11218-4116 | 2014-09-23 |
| 1417225889 | Shari Mills | Licensed Psychiatric Technician | 16933 144th Rd, Jamaica, NY 11434-5929 | 2011-12-13 |
| City | CHEEKTOWAGA |
| Zip Code | 14225 |
Please comment or provide details below to improve the information on BONNIE 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.