MRS. MADISON ANNE CLARK (NPI# 1407195183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407195183 |
| Entity Type | Individual |
| Full Name | MRS. MADISON ANNE CLARK |
| Credential | LPC CANDIDATE |
| Practice Address |
711 W Main Street Norman OK 73069-6918 |
| Mailing Address |
1213 Leslie Ln Norman OK 73069-4403 |
| Practice Telephone | 4058824960 |
| Mailing Telephone | 4058824960 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2015-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1407195183 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821531492 | Madison Rae Clark | Specialist/Technologist | 15413 E 3rd Ter S, Independence, MO 64050-2289 | 2016-11-29 |
| 1841645389 | Madison Clark | Marriage & Family Therapist | 11615 Northgate Trl, Roswell, GA 30075-2335 | 2016-05-03 |
| 1053950972 | Madison R Clark | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2019-12-23 |
| Street Address |
711 W MAIN STREET |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-6918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881014926 | Madison Clark, Pllc | Community/Behavioral Health | 711 W Main Street, Norman, OK 73069 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396369286 | Advocate for Mental Health Services LLC | Counselor | 1300 Mcgee Dr Ste 103, Norman, OK 73072-5858 | 2020-06-05 |
| 1639791221 | Santa Gladys Velez | Counselor | 1215 Crossroads Blvd Ste 212, Norman, OK 73072-3391 | 2020-05-18 |
| 1881240372 | Cindy Joelle Owen | Counselor | 3625 W Main St Ste 100, Norman, OK 73072-4644 | 2019-08-12 |
| 1063931509 | Nicole Barlow | Counselor | 521 Sandpiper Ln, Norman, OK 73071-6182 | 2017-09-15 |
| 1689190852 | Worster Williams Counseling Pllc | Counselor | 2500 Mcgee Dr Ste 120, Norman, OK 73072-6705 | 2017-08-18 |
| 1407387491 | Cindy Holden | Counselor | 4101 Wood Castle St, Norman, OK 73072-1739 | 2017-03-22 |
| 1023562287 | Holly Carmen | Counselor | 4542 Steeplechase Dr, Norman, OK 73072-2861 | 2016-08-05 |
| 1942659727 | Kim Oliver | Counselor | 2807 Castlewood Dr, Norman, OK 73072-7526 | 2016-06-13 |
| 1528425212 | Mark Anthony Dominguez | Counselor | 3825 24th Ave Se, Apt. #5, Norman, OK 73071-1770 | 2016-01-26 |
| 1497147458 | Rhonda Burton Snodgrass | Counselor | 1618 Brookhaven Blvd, Norman, OK 73072-3208 | 2015-02-28 |
| Find all providers in NORMAN | ||||
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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.