MR. MICHAEL CLARK (NPI# 1386170348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386170348 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL CLARK |
| Credential | FNP-C |
| Practice Address |
317 E 100 N Price UT 84501-2504 |
| Practice Telephone | 4356375061 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 7198090-3102 | UT | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7198090-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| 1457663023 | Michael Ahart Clark | Massage Therapist | 2010 Mount Zion Rd, C, Morrow, GA 30260-3314 | 2010-07-11 |
| Street Address |
317 E 100 N |
| City | PRICE |
| State | UT |
| Zip Code | 84501-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672011 | Chaz Davis | Nurse Practitioner | 317 E 100 N, Price, UT 84501-2504 | 2019-01-10 |
| 1457874497 | Castleview Hospital LLC | Pharmacy | 317 E 100 N, Suite 4, Price, UT 84501 | 2017-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| 1174160071 | Kelli Fowles | Pharmacist | Smith's Food & Drug, 1075 E Main St, Price, UT 84501 | 2019-12-10 |
| 1225683733 | Zachary Kreek | Registered Nurse | 77 South 600 East Suite C, Price, UT 84501 | 2019-08-02 |
| 1578036547 | Boni Lee Taylor | Counselor | 445 North Carbonville Road, Price, UT 84501 | 2019-01-02 |
| 1023591310 | Center for Independent Living, Inc | Durable Medical Equipment & Medical Supplies | 2490 Mariner Square Loop, Suite 210, Alameda, CA 84501 | 2018-09-12 |
| 1023500360 | Dkmcomber Clinical Services | Nurse Practitioner | 590 E 100 N Ste 7, Price, UT 84501 | 2018-06-02 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1255783874 | Cacilia Jensen | Case Manager/Care Coordinator | 105 W. 100 N., Price, UT 84501 | 2016-07-07 |
| 1801133905 | Joseph Micah Woodard | Counselor | 575 E. 100 S., Price, UT 84501 | 2013-01-09 |
| 1447513221 | Eugene Douglas Larsen Jr. | Internal Medicine | 280 N Hospital Dr Ste 4, Price, UT 84501 | 2012-06-18 |
| Find all providers in zip 84501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558558106 | Doris G Christensen | Nurse Practitioner | 451 E 400 N, Price, UT 84501-2626 | 2007-09-27 |
| 1346233996 | Connie Kim Quinton | Nurse Practitioner | 590 E 100 N Ste 6, Price, UT 84501-2600 | 2005-08-30 |
| 1467454413 | Donna Mathis | Nurse Practitioner | 280 N Hospital Dr, Ste 3, Price, UT 84501-4216 | 2005-06-02 |
| 1932672011 | Chaz Davis | Nurse Practitioner | 317 E 100 N, Price, UT 84501-2504 | 2019-01-10 |
| 1982112587 | Janis Pitchforth | Nurse Practitioner | 280 N Hospital Dr Ste 4, Price, UT 84501-4211 | 2018-01-17 |
| 1548515935 | Cris Ronald Chamberlain | Nurse Practitioner | 280 N Hospital Dr Ste 5, Price, UT 84501-4211 | 2012-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1164021721 | Mistie Sue Manning | Nurse Practitioner | 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010-7675 | 2020-10-23 |
| 1023617404 | Michaelle Lei Spears | Nurse Practitioner | 922 W Baxter Dr, South Jordan, UT 84095-8613 | 2020-10-18 |
| 1649878935 | Kecia Kristine Chandler | Nurse Practitioner | 285 N Main St Unit 692, Kaysville, UT 84037-6027 | 2020-10-09 |
| 1386251742 | Jennifer Lynn Castillo | Nurse Practitioner | 280 S 9500 E, Huntsville, UT 84317-9766 | 2020-09-29 |
| 1174130629 | Jessica Noel Wagner | Nurse Practitioner | 12828 S 3600 W Ste 101, Riverton, UT 84065-6853 | 2020-09-29 |
| 1962019596 | Freya Kristen Landesman | Nurse Practitioner | 60 E South Temple Ste 300, Salt Lake City, UT 84111-1041 | 2020-09-28 |
| 1750998860 | Jeremy Llewellyn | Nurse Practitioner | 395 W Cougar Blvd Fl 5, Provo, UT 84604-3323 | 2020-09-24 |
| 1356957781 | Holly Lovell | Nurse Practitioner | 56 S 1030 E, Santaquin, UT 84655-5698 | 2020-09-21 |
| 1861005688 | Cara Susan Jones Ahlstrom | Nurse Practitioner | 81 N Havenwood Dr, Kaysville, UT 84037-6881 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.