COURTNEY MEADOWS CLARK (NPI# 1477079085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477079085 |
| Entity Type | Individual |
| Full Name | COURTNEY MEADOWS CLARK |
| Other Name | COURTNEY BREANNE MEADOWS |
| Credential | PA |
| Practice Address |
2150 Whitney Ave Memphis TN 38127-6662 |
| Practice Telephone | 9013535440 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3365 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1211 Union Ave Ste 495, Memphis, TN 381046656 | 9015076600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056681 | Courtney Denise Clark | Counselor | 502 Mockingbird Dr, Crossville, TN 38555-5836 | 2020-09-03 |
| 1558722082 | Courtney Clark | Behavioral Analyst | 2541 White Mountain Hwy, Unit 5, North Conway, NH 03860-5125 | 2016-03-10 |
| 1609476746 | Courtney Clark | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-28 |
| 1720615008 | Courtney Clark | Physical Medicine & Rehabilitation | 3574 Center Rd, Brunswick, OH 44212-3618 | 2020-03-25 |
| 1518590660 | Courtney A Clark | Counselor | 12921 Cantrell Rd Ste 105, Little Rock, AR 72223-1798 | 2020-02-18 |
| 1174170237 | Courtney Clark | Social Worker | 1509 Maple St, Scranton, PA 18505-2707 | 2019-08-23 |
| 1457906588 | Courtney Lynn Clark | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2019-08-06 |
| 1801351341 | Courtney Clark | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2019-02-08 |
| 1275002164 | Courtney Marie Clark | Counselor | 833 N 26th St, Milwaukee, WI 53233-1507 | 2018-11-20 |
| 1740787027 | Courtney N Clark | Speech-Language Pathologist | 731 N Klein Cir, Derby, KS 67037-7011 | 2018-04-12 |
| Street Address |
2150 WHITNEY AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38127-6662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467569525 | Frayser Millington North Shelby Mental Health Center, Inc. | Community/Behavioral Health | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2006-08-24 |
| 1114561420 | Dededra Bellamy Nelson | Registered Nurse | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2019-10-30 |
| 1912312828 | Alliance Healthcare System Whitney Pharmacy | Pharmacy | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2014-06-30 |
| 1770910564 | Mickey Johnson | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2013-10-11 |
| 1386081321 | Kriste N Brown | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2013-05-31 |
| 1598008575 | Raun C Swafford | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2013-03-28 |
| 1700126083 | Janice A Moses | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2013-02-22 |
| 1528306800 | Danisha N Oliver | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2013-01-22 |
| 1538406152 | Tomorowish S Brown | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2013-01-16 |
| 1851637672 | Quishandrea B Richards | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2012-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
| 1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
| 1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| 1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
| 1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
| 1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
| Find all providers in zip 38127 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1134734817 | Siushan Tang Vuong | Physician Assistant | 102 Clark Pl Apt S, Memphis, TN 38104-2419 | 2020-09-10 |
| 1174137525 | Gustavo Adolfo Tangarife Sr. | Physician Assistant | 2193 Morning Vista Dr, Memphis, TN 38134-6018 | 2020-09-02 |
| 1053949586 | Michella Glenna Douglas | Physician Assistant | 3911 Oak Branch Cir W, Memphis, TN 38135-0213 | 2020-03-30 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1306480868 | Lauren Blum | Physician Assistant | 100 S Greer St, Memphis, TN 38111-3429 | 2019-10-28 |
| 1487135463 | Baron Surgical, Pllc | Physician Assistant | 4728 Spottswood Ave # 199, Memphis, TN 38117-4817 | 2018-08-27 |
| 1083139265 | Huda Alaeddin | Physician Assistant | 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687 | 2017-08-08 |
| 1982076246 | Richard Randolph | Physician Assistant | 1094 River Isle Dr, Memphis, TN 38103-8870 | 2015-10-27 |
| 1962870808 | Sophia Garrison | Physician Assistant | 4562 Poplar Ave Ste 109, Memphis, TN 38117-7515 | 2015-09-09 |
| Find all providers in MEMPHIS | ||||
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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.