MR. CASEY CLARK (NPI# 1518308923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518308923 |
Entity Type | Individual |
Full Name | MR. CASEY CLARK |
Credential | ARNP |
Practice Address |
815 Oberlin Rd Raleigh NC 27605-1300 |
Mailing Address |
311 Mcdowell Dr Wake Forest NC 27587-2572 |
Practice Telephone | 6307400574 |
Enumeration Date | 2013-07-13 |
Last Update Date | 2019-03-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 9295142 | FL | Nursing Service Providers |
N | 163W00000X | Registered Nurse | 647396 | NY | Nursing Service Providers |
N | 363L00000X | Nurse Practitioner | 50100977 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363L00000X | Nurse Practitioner | ARNP9295142 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 647396 | NY | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
4710 S Florida Ave, Lakeland, FL 338132165 | 8632846800 | 8632846824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
1174534085 | Casey Ryan Clark | Nurse Anesthetist, Certified Registered | 22234 Kennemer Ln, Athens, AL 35613-8162 | 2006-08-10 |
1306340286 | Casey Lane Clark | Student in an Organized Health Care Education/Training Program | 900 S Limestone Ctw 304, Lexington, KY 40536-0001 | 2018-03-23 |
1225542558 | Casey Daniel Clark | Nurse Practitioner | 230 Sheraton Blvd, Macon, GA 31210-1358 | 2017-11-22 |
1477072809 | Casey Morgan Clark | Behavior Technician | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2017-09-18 |
1184929648 | Casey M Clark | Physical Therapist | 100 Park St, Glens Falls, NY 12801-4413 | 2011-01-14 |
1174528871 | Casey J. Clark | Physical Therapist | 2170 S Lamar Blvd, Oxford, MS 38655-5224 | 2005-06-17 |
Street Address |
815 OBERLIN RD |
City | RALEIGH |
State | NC |
Zip Code | 27605-1300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912051038 | Joanne Fruth | Family Medicine | 815 Oberlin Rd, Suite 200, Raleigh, NC 27605-1300 | 2007-01-23 |
1629552567 | Mary Therese Phelan | Nurse Practitioner | 815 Oberlin Rd, Raleigh, NC 27605-1300 | 2018-09-17 |
1760964431 | Christopher Thompson | Dietitian, Registered | 815 Oberlin Rd, Raleigh, NC 27605-1300 | 2018-08-30 |
1881121531 | Vrx2 LLC | Pharmacy | 815 Oberlin Rd, Raleigh, NC 27605-1300 | 2017-05-12 |
1871049239 | Rx Now LLC | Pharmacy | 815 Oberlin Rd, Raleigh, NC 27605-1300 | 2016-08-26 |
1598219057 | Meghan Presnell | Nurse Practitioner | 815 Oberlin Rd, Raleigh, NC 27605-1300 | 2016-08-12 |
1891195640 | Joseph Patrick Goldstein | Specialist/Technologist | 815 Oberlin Rd, Raleigh, NC 27605-1300 | 2014-08-29 |
1508195439 | Ashley Nicole Abney | Physical Therapist | 815 Oberlin Rd, Suite 302, Raleigh, NC 27605-1300 | 2009-12-24 |
1659606556 | Brad Marshburn | Pharmacist | 815 Oberlin Rd, Raleigh, NC 27605-1300 | 2009-10-09 |
1275732927 | Jacob Ryan Brayboy | Family Medicine | 815 Oberlin Rd, Suite 200, Raleigh, NC 27605 | 2007-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982195509 | Kelsey Luvender Garner | Counselor | 1405 Hillsborough St # 104, Raleigh, NC 27605 | 2018-05-21 |
1760972046 | Brandi Teetor | Social Worker | 801 Oberlin Rd Ste 310, Raleigh, NC 27605 | 2018-05-13 |
1497264188 | Jasmine Campbell | Behavior Technician | 505 Oberlin Road, 230, Raleigh, NC 27605 | 2017-09-25 |
1487087722 | Cornelius Toliver | Pharmacist | 815 Oberlin Road, Raleigh, NC 27605 | 2013-08-09 |
1811218449 | Pushpesh Bhandari | Pharmacist | 501 Woodburn Rd, Raleigh, NC 27605 | 2010-06-17 |
1275627739 | Paige Corinne Tharrington | Counselor | 800 St. Mary's Street, Suite 401, Raleigh, NC 27605 | 2006-10-02 |
1699740118 | Mary Sue Huelsbeck | Psychologist | 629 Oberlin Road, Raleigh, NC 27605 | 2006-02-19 |
1245215177 | Ashley H Lloyd | Dentist | 1330 St. Marys St, Suite B30, Raleigh, NC 27605 | 2005-12-14 |
1457814709 | Hannah Rose Tucker | Physical Therapist | 815 Oberlin Rd Ste 302, Raleigh, NC 27605 | 2019-04-12 |
1235676578 | Ian Brown | Physician Assistant | 815 Oberlin Road, #200, Raleigh, NC 27605 | 2017-01-25 |
Find all providers in zip 27605 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902406671 | Lilly Danielle Appleberry | Nurse Practitioner | 6005 Clarks Fork Dr, Raleigh, NC 27616-5821 | 2020-10-30 |
1891318739 | Christopher Paul Murphy | Nurse Practitioner | 11200 Governor Manly Way Ste 23, Raleigh, NC 27614-8599 | 2020-05-27 |
1669095139 | Shannon Yahyapour | Nurse Practitioner | 1528 Shadowood Ln, Raleigh, NC 27612-5917 | 2020-05-19 |
1134752181 | Pamela Liane Harris Claxton | Nurse Practitioner | 3708 San Pablo Dr, Raleigh, NC 27616-4540 | 2020-02-18 |
1083253033 | Brenda Lee Gartrell | Nurse Practitioner | 2000 Red Quartz Dr, Raleigh, NC 27610-5634 | 2019-12-21 |
1154979227 | Bethany Bartholomew | Nurse Practitioner | 10941 Raven Ridge Rd Ste 201, Raleigh, NC 27614-6487 | 2019-08-30 |
1831750181 | Becky L Milam | Nurse Practitioner | 5900 Six Forks Rd Ste 200, Raleigh, NC 27609-8226 | 2019-06-27 |
1275034357 | Matthew O'donnell | Nurse Practitioner | 6500 Creedmoor Rd Ste 110, Raleigh, NC 27613-3698 | 2018-02-23 |
1356852792 | Meredith Tschoke | Nurse Practitioner | 4505 Falls of Neuse Rd Ste 650, Raleigh, NC 27609-2523 | 2017-10-12 |
1992174775 | Chun Young Hong | Nurse Practitioner | 3414 Six Forks Rd., Raleigh, NC 27609 | 2015-09-22 |
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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.