HEATHER SUMMERS CLARK (NPI# 1417387721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417387721 |
| Entity Type | Individual |
| Full Name | HEATHER SUMMERS CLARK |
| Practice Address |
12729 Nw Twin Oaks Dr Bristol FL 32321-3431 |
| Practice Telephone | 8504475256 |
| Mailing Telephone | 8504475256 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH11917 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972900520 | Heather Clark | Family Medicine | 9815 Main St Ste 208, Damascus, MD 20872 | 2014-11-25 |
| 1093095010 | Heather C Clark | Physical Therapist | 778 Baeder Rd, Jenkintown, PA 19046-2236 | 2011-08-22 |
| 1619184959 | Heather Clark | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2007-05-17 |
| 1033281555 | Heather E Clark | Dentist | 269 N Easton Rd, Glenside, PA 19038-4717 | 2006-11-14 |
| 1336139252 | Heather J Clark | Pharmacist | 14720 Metcalf Ave, Overland Park, KS 66223-2204 | 2005-10-22 |
| 1356343784 | Heather M Clark | Dentist | 2311 New Rd, Northfield, NJ 08225-1442 | 2005-08-15 |
| 1295365815 | Heather Elan Clark | Registered Nurse | 5721 Hamilton Rd, Jordan, NY 13080-9760 | 2020-01-23 |
| 1861983116 | Heather Nicole Clark | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4396 | 2018-05-22 |
| 1215424270 | Heather Lynn Clark | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2018-04-16 |
| 1467976696 | Heather Clark | Physician Assistant | 3200 E Racine St, Janesville, WI 53546-2343 | 2017-07-31 |
| Street Address |
12729 NW TWIN OAKS DR |
| City | BRISTOL |
| State | FL |
| Zip Code | 32321-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649739194 | Amberly Portero | Counselor | 10611 Florida Highway 20, Bristol, FL 32321 | 2019-03-14 |
| 1194281121 | Ash Bailey Smith | Social Worker | 10659 Nw Sr 20, Bristol, FL 32321 | 2019-02-14 |
| 1508295692 | Maggie Chavez | Counselor | 12422 Ne Revell Road, Bristol, FL 32321 | 2013-11-08 |
| 1437586609 | Queen Brown Haven Assisted Living Facility | Assisted Living Facility | 6906 Nw Torreya Park Road, Bristol, FL 32321 | 2013-10-03 |
| 1538400072 | Ruby Lee Varnum | Assisted Living Facility | 12167 Nw Freeman Rd, Bristol, FL 32321 | 2013-03-08 |
| 1417233321 | April Dawn Landrum | Case Management | 13888 Nw Cr 12, Apalachee Center, Inc., Bristol, FL 32321 | 2011-10-25 |
| 1417191107 | Elizabeth Stephanie Hofrichter | Social Worker | 11033 Nw Sr 20, Bristol, FL 32321 | 2009-04-24 |
| 1275734881 | Efren L Baltazar | Obstetrics & Gynecology | 2571 Executive Center Circle East, Howard Building Division of Disability Determination, Tallahassee, FL 32321 | 2007-05-30 |
| 1336260322 | Laban Bontrager | Dentist | 12761 Ne Pea Ridge Rd, Bristol, FL 32321 | 2007-04-03 |
| 1225192404 | Liberty County School Board | Local Education Agency (LEA) | 12926 Nw Cr 12, Bristol, FL 32321 | 2006-12-21 |
| Find all providers in zip 32321 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224859 | Jennifer Shuler Kever | Counselor | 10611 Sr 20, Bristol, FL 32321-3232 | 2020-10-30 |
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1639710221 | Steven William Roll | Counselor | 2 Canals End Rd Ste 201b, Bristol, PA 19007-4821 | 2019-10-04 |
| 1265081913 | Tamara Diane Monroe | Counselor | 1250 Veterans Hwy # G18a, Bristol, PA 19007-2595 | 2019-09-05 |
| 1043770910 | Mckeon Counseling Services LLC | Counselor | 102 Ridge Rd, Bristol, CT 06010-7368 | 2019-03-25 |
| 1649739194 | Amberly Portero | Counselor | 10611 Florida Highway 20, Bristol, FL 32321 | 2019-03-14 |
| 1063903094 | Lynn Marie Weisman | Counselor | 417 Hope St, Bristol, RI 02809-1805 | 2018-05-25 |
| 1992213466 | Briana Donley | Counselor | 31 Charles St, Bristol, RI 02809-3101 | 2018-01-17 |
| 1447792437 | Marguerite Peruto | Counselor | 10 Wardwell Street, Studio #4, Bristol, RI 02809 | 2016-11-08 |
| 1972056711 | Julia Gaw | Counselor | 970 Hope St Unit 3, Bristol, RI 02809-5210 | 2016-07-28 |
| Find all providers in BRISTOL | ||||
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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.