MISS LISA M CLARK (NPI# 1376742841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376742841 |
Entity Type | Individual |
Full Name | MISS LISA M CLARK |
Credential | LMP |
Practice Address |
4308 N 26th St Tacoma WA 98407-5211 |
Mailing Address |
Po Box 7011 Tacoma WA 98417-0011 |
Practice Telephone | 2538201303 |
Mailing Telephone | 2538201303 |
Enumeration Date | 2007-07-15 |
Last Update Date | 2010-03-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MA00024438 | WA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154776912 | Lisa Clark | Counselor | 8722 Heaton St, New Orleans, LA 70118-2616 | 2016-04-29 |
1548694383 | Lisa G Clark | Speech-Language Pathologist | 2405 Champaign Ave, Mattoon, IL 61938-2646 | 2013-08-28 |
1073857801 | Lisa Ann Clark | Specialist | 1110 Chenango St, Binghamton, NY 13901-1668 | 2012-11-16 |
1952680324 | Lisa S Clark | Counselor | 1223 Meadow Lake Rd, Rockledge, FL 32955-8403 | 2011-08-16 |
1134456445 | Lisa Lynn Clark | Occupational Therapist | 85 Lunt Rd, Brunswick, ME 04011-7289 | 2009-11-06 |
1437485836 | Lisa Landers Clark | Counselor | 1 Waterford Ln, Savannah, GA 31411-1305 | 2009-10-20 |
1710146220 | Lisa M Clark | Nurse Practitioner | University Hosp Medical Center Stony Brk, Dept Pediatrics Hsc 11th Floor, Stony Brook, NY 11794-0001 | 2008-06-09 |
1356453260 | Lisa M Clark | Dentist | Bonham Family Dentistry, 101 E 9th Street, Bonham, TX 75418 | 2006-08-31 |
1598779100 | Lisa Bardy Clark | Family Medicine | 12815 Highway 98 West, Suite 116, Destin, FL 32550 | 2006-07-28 |
1952378226 | Lisa Clark | Psychologist | 225 Medical Way, Riverdale, GA 30274-2522 | 2006-03-04 |
Street Address |
4308 N 26TH ST |
City | TACOMA |
State | WA |
Zip Code | 98407-5211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982091278 | Kaylee Mathews | Specialist | 4308 N 26th St, Tacoma, WA 98407-5211 | 2015-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871134205 | Adrienne Ashley | Behavior Technician | 3704 Nth 35th Street, Tacoma, WA 98407 | 2019-10-07 |
1346890050 | Theresa Marie Hopper | Technician | 5335 N. Ruby St., Tacoma, WA 98407 | 2019-09-14 |
1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
1518445196 | Rachael L Southern | Registered Nurse | 3502 N Visscher St, Tacoma, WA 98407 | 2018-08-06 |
1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
1720533805 | Edward Adlen Herrera | Behavioral Analyst | 3704 Nth 35th St, Tacoma, WA 98407 | 2016-08-18 |
1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
1770950446 | Darriell Beaumonte | Counselor | 5410 N. 44th Street, Tacoma, WA 98407 | 2015-08-28 |
1750722682 | Lori Ha | Dentist | 5005 Main St Ste 107, Ruston, WA 98407 | 2013-07-08 |
1861745929 | Jennifer L Trahan | Counselor | 5410 N. 44th St., Tacoma, WA 98407 | 2012-10-25 |
Find all providers in zip 98407 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568911196 | Sheila Strecker | Specialist | 3518 6th Ave Ste 200, Tacoma, WA 98406-5419 | 2016-09-23 |
1356898530 | Nikita D Schipper | Specialist | 504 Garfield St S, Tacoma, WA 98444-3628 | 2016-09-06 |
1437513637 | Bridgette Burdyshaw | Specialist | 438 E 60th St, Tacoma, WA 98404-1926 | 2016-04-13 |
1326408410 | Kristina Baker | Specialist | 1310 S Union Ave Ste A202, Tacoma, WA 98405-1907 | 2016-03-02 |
1598130130 | Bethany Joy Gehrke | Specialist | 1601 N 8th St, Tacoma, WA 98403-1013 | 2015-12-08 |
1346613791 | Angela Jane King | Specialist | 913 N Frace St, Tacoma, WA 98406-2121 | 2015-11-06 |
1518364140 | Maria Margarita Celis | Specialist | 1011 S M St, Tacoma, WA 98405-3653 | 2014-11-25 |
1497151419 | Kaelyn Heath | Specialist | 6502 19th St Ne, Tacoma, WA 98422-3701 | 2014-11-18 |
1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
1265841175 | Valentine Yoga Therapy, LLC | Specialist | 420 S 35th St, Tacoma, WA 98418-6822 | 2014-08-05 |
Find all providers in TACOMA |
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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.