MR. CASEY CLARK


Address: 815 Oberlin Rd, Raleigh, NC 27605-1300
Phone: 6307400574

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
4710 S Florida Ave, Lakeland, FL 338132165 8632846800 8632846824

Other Providers CASEY CLARK

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

Office Location

Street Address 815 OBERLIN RD
City RALEIGH
State NC
Zip Code 27605-1300

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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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Competitor

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City RALEIGH
Zip Code 27605

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Dataset Information

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.

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