MS. ANDREA CLARK (NPI# 1407238660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407238660 |
| Entity Type | Individual |
| Full Name | MS. ANDREA CLARK |
| Practice Address |
2300 Seaman St Apt. 101 Toledo OH 43605-1952 |
| Practice Telephone | 4198102055 |
| Mailing Telephone | 4198102055 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182309 | Andrea K Clark | Occupational Therapist | 920 Goldenrod Ln, Hickman, NE 68372-9509 | 2018-07-30 |
| 1114359049 | Andrea Clark | Physical Therapist | 531 Madison St, Albany, CA 94706-1116 | 2013-08-02 |
| 1003124223 | Andrea Nicole Clark | Licensed Practical Nurse | 9869 State Route 141, Kitts Hill, OH 45645-8649 | 2010-09-22 |
| 1295057362 | Andrea Serina Clark | Speech-Language Pathologist | 7497 Oak Tree Ln, Spring Hill, FL 34607-2324 | 2010-02-17 |
| 1336369602 | Andrea Walser Clark | Counselor | 157 Walser Way, Advance, NC 27006-7341 | 2007-04-27 |
| 1912034596 | Andrea Rachele Clark | Psychologist | 1818 W Lindsey St Ste C120, Norman, OK 73069-4169 | 2007-02-28 |
| 1477593580 | Andrea Clark | Counselor | 120 W 57th St, 8th Floor, New York, NY 10019-3320 | 2006-06-07 |
| 1558999672 | Andrea Clark | Registered Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2020-04-01 |
| 1306359948 | Andrea Clark | Counselor | 10 Southard St, Trenton, NJ 08609-1020 | 2017-11-06 |
| 1861937989 | Andrea Clark | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2016-12-28 |
| Street Address |
2300 SEAMAN ST APT. 101 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43605-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154860351 | Mark Nordstrom | Day Training, Developmentally Disabled Services | 361 Valleywood Dr, Toledo, OH 43605 | 2017-02-21 |
| 1073062758 | Michele Bryant | Counselor | 911 Mason Street #2, Toledo, OH 43605 | 2016-09-23 |
| 1962894964 | Michael Dickinson | Technician | 2115 Genesse, Toledo, OH 43605 | 2015-02-27 |
| 1851419030 | Daniel Monroe Saunders | Dentist | 808 East Broadway, Toledo, OH 43605 | 2007-03-27 |
| 1053326082 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 925 Woodville Rd, Toledo, OH 43605 | 2006-07-29 |
| 1679070775 | Cynda Tucker-coates | Social Worker | 624 Main St, Toledo, OH 43605 | 2018-04-06 |
| 1376066654 | Veronica C Laverde | Social Worker | 1425 Starr Ave, Toledo, OH 43605 | 2017-07-19 |
| 1689058182 | Jessica Breske | Counselor | 1425 Starr Ave, Toledo, OH 43605 | 2015-07-14 |
| 1750699294 | Neighborhood Health Association | Health Maintenance Organization | 117 Main Street, Toledo, OH 43605 | 2010-09-17 |
| 1346310687 | Lori Sue Gozdowski | Clinical Nurse Specialist | 1425 Starr Ave., Toledo, OH 43605-1000 | 2006-11-08 |
| Find all providers in zip 43605 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473552 | Monica Adesuwa Triplett | Contractor | 1430 Parkside Blvd, Toledo, OH 43607-1507 | 2020-10-05 |
| 1457960205 | Damisha Woodley | Contractor | 1133 Brooke Park Dr, Toledo, OH 43612-4217 | 2020-07-28 |
| 1366917601 | Jacqueline Jean Mullen | Contractor | 5236 Regency Dr Apt 2, Toledo, OH 43615-2999 | 2018-10-12 |
| 1487174397 | Keisha Lumpkin | Contractor | 1325 Corry, Toledo, OH 43614 | 2017-06-21 |
| 1679013080 | Jane Austin | Contractor | 1361 S Cove Blvd, Toledo, OH 43606-4247 | 2017-03-03 |
| 1699217836 | Raquel Ashley | Contractor | 3421 Mayo St, Toledo, OH 43611-3225 | 2016-11-04 |
| 1982056701 | Lavetta Lino | Contractor | 5510 Suder Ave, Toledo, OH 43611-1413 | 2016-07-05 |
| 1750738373 | Andreas Wilson | Contractor | 3416 Gibraltar Heights, Toledo, OH 43609 | 2016-05-24 |
| 1740654144 | Becky Williams | Contractor | 711 Lodge Ave, Toledo, OH 43609-2915 | 2015-11-23 |
| 1982083028 | Kendra Zimmerman | Contractor | 5744 Staghorn Dr, Toledo, OH 43614-4561 | 2015-05-21 |
| Find all providers in TOLEDO | ||||
Please comment or provide details below to improve the information on MS. ANDREA 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.