CHRISTINA CLARK (NPI# 1386206571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386206571 |
Entity Type | Individual |
Full Name | CHRISTINA CLARK |
Credential | ACNPC-AG |
Practice Address |
715 Mall Ring Cir Ste 202 Henderson NV 89014-6667 |
Practice Telephone | 7024836200 |
Practice Fax Number | 7024836202 |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
822098 | NV | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154894988 | Christina Clark | Community Health Worker | 7028 Cobblestone Dr, Memphis, TN 38125-2612 | 2019-01-04 |
1427390350 | Christina D Clark | Technician, Other | 119 Lowenstein Ln, Cardington, OH 43315-9627 | 2013-03-18 |
1467762922 | Christina Michelle Clark | Dentist | 15310 Dawn Meadows Dr, Houston, TX 77068-3816 | 2010-10-18 |
1376710236 | Christina S Clark | Pharmacist | 2820 Keith Bridge Rd, Cumming, GA 30041-3935 | 2008-05-09 |
1003817081 | Christina Clark | Psychologist | 666 High St, Suite 200-d, Worthington, OH 43085-4135 | 2005-08-02 |
1386262830 | Christina Clark | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 | 2020-07-10 |
1013565498 | Christina Mae Clark | Physician Assistant | 25a June Street, Sanford, ME 04073 | 2019-08-29 |
1235798497 | Christina Cheryl Clark | Chore Provider | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2019-06-11 |
1639682081 | Christina M Clark | Behavior Technician | 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | 2017-11-08 |
1578013769 | Christina Clark | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2016-10-11 |
Street Address |
715 MALL RING CIR STE 202 |
City | HENDERSON |
State | NV |
Zip Code | 89014-6667 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659840270 | Ronnie Malalay Bordador | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2018-11-14 |
1386289718 | Naomi Satina Cruz-moreno | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-11-08 |
1790335131 | Leilani Paz Marcelino | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
Find all providers in zip 89014 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
1902384472 | Nikesha Mobley | Nurse Practitioner | 1070 W Horizon Ridge Pkwy Ste 111, Henderson, NV 89012-6019 | 2018-08-06 |
1851805295 | Elise Noelle Sterritt | Nurse Practitioner | 142 Willow Glen Ct, Henderson, NV 89074-0659 | 2017-11-21 |
1346855087 | Emil Almachar | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2020-09-10 |
1386289718 | Naomi Satina Cruz-moreno | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-11-08 |
1922567619 | Theresa Elizabeth Gordon | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2019-03-13 |
1063983682 | Christina Galon | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2018-12-07 |
1275003824 | Emeka Madu | Nurse Practitioner | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-11-27 |
1245758341 | Julie Federico Palacios | Nurse Practitioner | 10624 S Eastern Ave, Henderson, NV 89052-2982 | 2017-09-08 |
1730630674 | Deanne Ting Omar | Nurse Practitioner | 2900 W Horizon Ridge Pkwy, Ste 221, Henderson, NV 89052 | 2016-10-15 |
Find all providers in HENDERSON |
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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.