SHERILYN K CLARK (NPI# 1467533604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467533604 |
| Entity Type | Individual |
| Full Name | SHERILYN K CLARK |
| Credential | RN |
| Practice Address |
110 S. 2nd St. Ellington MO 63638 |
| Mailing Address |
108 Pine Lane Van Buren MO 63965 |
| Practice Telephone | 5736632313 |
| Practice Fax Number | 5736632441 |
| Mailing Telephone | 5733238264 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
054701 | MO | Nursing Service Providers |
| Street Address |
110 S. 2ND ST. |
| City | ELLINGTON |
| State | MO |
| Zip Code | 63638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295816437 | Deeanna Lynn Freeman | Registered Nurse | 110 S. 2nd St., Ellington, MO 63638 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831398858 | Linda Lee Potter | Counselor | 125 A Temple St, Ellington, MO 63638 | 2007-07-11 |
| 1942424254 | Iris Fae Ross | Counselor | 110 N. Second St., Ellington, MO 63638 | 2007-04-11 |
| 1700916400 | Southern Reynolds Rii | Speech-Language Pathologist | One School Street, Ellington, MO 63638 | 2007-03-06 |
| 1770678211 | Big Springs Medical Association | Clinic/Center | 115 Walnut St, Ellington, MO 63638 | 2006-10-03 |
| 1376637728 | Jeanie Larue Mcclanahan | Dental Assistant | 115 Walnut St., Ellington, MO 63638 | 2006-10-02 |
| 1730450156 | Tasha Lynn Wisdom | Social Worker | 315 E Walnut St, Ellington, MO 63638 | 2012-01-17 |
| 1033420039 | Meagan Whitley Berry | Dental Hygienist | 115 Walnut St, Ellington, MO 63638 | 2010-06-24 |
| 1689814329 | Healthpro Physical Therapy LLC | Clinic/Center | 315 East Walnut, Ellington, MO 63638 | 2009-02-20 |
| 1992984173 | Dr. Stephen C. Waller, Dds, LLC | Dentist | 115 Walnut St, Ellington, MO 63638 | 2007-10-24 |
| 1770664906 | Stacey Keeney | Registered Nurse | 205 Walnut St., Ellington, MO 63638 | 2006-10-17 |
| Find all providers in zip 63638 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668548 | Kayse Marie Nichols | Registered Nurse | 2807 Fox Meadow Ln, Arnold, MO 63010-2867 | 2020-10-28 |
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1043856396 | D&n Services | Registered Nurse | 1891 Arrowpoint Dr, St Louis, MO 63138 | 2019-11-21 |
| 1316591340 | Carol S. Coffee | Registered Nurse | 504 S Vine St, Advance, MO 63730-8060 | 2019-07-29 |
| 1184143794 | Brenda Joyce Alexander | Registered Nurse | 2420 E Linwood Blvd Ste 300d, Kansas City, MO 64109-2142 | 2017-09-14 |
| 1871991034 | Debra M Stone-casper | Registered Nurse | 2093 Us Highway 67, Festus, MO 63028-3669 | 2014-12-19 |
| 1245657717 | Janis Dickerman | Registered Nurse | 9524 Corregidor Dr, Saint Louis, MO 63134-4024 | 2014-03-23 |
| 1518274364 | Latisha Shirose Washington | Registered Nurse | 6202 Dupree Ave, Ferguson, MO 63135-3219 | 2010-08-31 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| 1407992795 | Kelly Dawn Reid | Registered Nurse | 1708 Spruce Dr, High Ridge, MO 63049-1867 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
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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.