MRS. KATHLEEN MARY CLARK (NPI# 1407290364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407290364 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN MARY CLARK |
| Credential | R.N. |
| Practice Address |
2800 Ashland Rd Columbia SC 29210-5010 |
| Practice Telephone | 8034768509 |
| Practice Fax Number | 8034768520 |
| Mailing Telephone | 8034768509 |
| Mailing Fax Number | 8034768520 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
42521 | SC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 42521 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043677446 | Kathleen Clark | Specialist/Technologist | 221 Lynnhaven Dr, North Syracuse, NY 13212-2025 | 2016-01-15 |
| 1518103886 | Kathleen Anne Clark | Internal Medicine | 5701 Time Square Blvd Ste 220, Amarillo, TX 79119-1178 | 2008-12-16 |
| 1114176328 | Kathleen Clark Clark | Speech-Language Pathologist | 2675 State Route 28, Thendara, NY 13472-0007 | 2008-09-11 |
| 1740276906 | Kathleen M. Clark | Social Worker | 3724 Jefferson St, Suite 206, Austin, TX 78731-6221 | 2005-09-23 |
| 1043204993 | Kathleen M Clark | Chiropractor | 209 Commercial St, Hartland, ME 04943-3710 | 2005-09-07 |
| 1174515829 | Kathleen A Clark | Physical Therapist | 2700 Keslinger Road, Suite C, Geneva, IL 60134-4645 | 2005-08-18 |
| 1174182281 | Kathleen A Clark | Nurse Practitioner | 1365 Westgate Center Dr Ste G1, Winston Salem, NC 27103-2980 | 2019-06-12 |
| 1376013235 | Kathleen Margaret Clark | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-0216 | 2018-12-04 |
| 1831664416 | Kathleen M Clark | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2018-10-10 |
| 1942668314 | Kathleen E Clark | Nurse Practitioner | 2111 Lexington Ave, Ste #1, Lawrenceville, IL 62439 | 2016-02-01 |
| Street Address |
2800 ASHLAND RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730527201 | Joanne M Newlon | Speech-Language Pathologist | 2800 Ashland Rd, Columbia, SC 29210-5010 | 2013-06-06 |
| 1013352806 | Jane H Thoennes | Speech-Language Pathologist | 2800 Ashland Rd, Columbia, SC 29210-5010 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003460668 | Laureen Mitchell | Registered Nurse | 2100 Bull St., Columbia, SC 29201-2104 | 2019-07-31 |
| 1861835860 | Kathy Melton Jackson | Registered Nurse | 6051 Wescott Rd, Columbia, SC 29212-1408 | 2013-04-10 |
| 1942643937 | Joanna Leanne Stanek | Registered Nurse | 6706 Nursery Rd, Columbia, SC 29212-2020 | 2013-04-10 |
| 1831430024 | Arlene Serveance | Registered Nurse | 4751 Hard Scrabble Rd, Columbia, SC 29229-9144 | 2013-03-13 |
| 1881935211 | Karen L Meyers | Registered Nurse | 8040 Hunt Club Rd, Columbia, SC 29223-2602 | 2013-03-11 |
| 1508106972 | Anne Katherine Bedlek | Registered Nurse | 1300 Clemson Rd, Columbia, SC 29229-8701 | 2013-02-22 |
| 1417297060 | Stacy Usher Harris | Registered Nurse | 200 Summit Pkwy, Columbia, SC 29229-9058 | 2013-02-19 |
| 1801136445 | Alice Howell Carter | Registered Nurse | 1001 Longtown Rd, Columbia, SC 29229-9482 | 2013-02-19 |
| 1225377179 | Tammie J. Singleton | Registered Nurse | 2740 Alpine Rd, Columbia, SC 29223-1910 | 2013-02-12 |
| 1609115500 | Martha Faller Becht | Registered Nurse | 6801 Brookfield Rd, Columbia, SC 29206-2205 | 2013-02-12 |
| Find all providers in COLUMBIA | ||||
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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.