CARLY CLARK (NPI# 1518471697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518471697 |
| Entity Type | Individual |
| Full Name | CARLY CLARK |
| Practice Address |
1267 Norberry Ct Apt 36 Cranberry Township PA 16066-5117 |
| Practice Telephone | 7245913580 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760827356 | Carly Rene' Clark | Advanced Practice Dental Therapist | 3324 N Arlington Pl, Portland, OR 97217-7204 | 2013-05-08 |
| 1790151256 | Carly Clark | Physical Therapy Assistant | 159 W 1st St, Oswego, NY 13126-2045 | 2015-08-18 |
| 1427436773 | Carly Clark | Dental Hygienist | 2828 Zuni St, Apt 110, Denver, CO 80211-4331 | 2015-05-07 |
| 1518106632 | Carly Ann Clark | Massage Therapist | 127 W 79th St, Suite 4, New York, NY 10024-6416 | 2009-02-12 |
| Street Address |
1267 NORBERRY CT APT 36 |
| City | CRANBERRY TOWNSHIP |
| State | PA |
| Zip Code | 16066-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750739991 | Navnit Mathur | Optometrist | Cranberry Commons, 1713 Pa-228 F, Cranberry Township, PA 16066 | 2016-05-27 |
| 1346671484 | Kathleen Therese Spanos | Occupational Therapist | 1993 Powell Road, Cranberry Township, PA 16066 | 2013-11-27 |
| 1215364351 | Premier Eyecare of Cranberry Inc | Optometrist | 6501 Mars Road, Cranberry Township, PA 16066 | 2013-10-03 |
| 1790069789 | Michelle Renee Cronin | Pharmacist | 20260 Rt 19, Cranberry Twp, PA 16066 | 2011-10-07 |
| 1770893588 | Rainier Physical Therapy LLC | Clinic/Center | 1187 Freedom Road, Suite C-101, Cranberry Township, PA 16066 | 2010-10-14 |
| 1437488970 | Visionworks, Inc. | Durable Medical Equipment & Medical Supplies | 1713 Route 228, Ste. F, Cranberry Township, PA 16066 | 2009-12-11 |
| 1053644740 | Tamara L Walczyk | Pharmacist | 900 Commonwealth Dr, Suite 900, Cranberry Twp, PA 16066 | 2009-09-12 |
| 1487884912 | New Harmony Integrated Medicine, P.C. | Chiropractor | 401 Smith Dr., Ste 100-a, Cranberry Twp, PA 16066 | 2009-07-17 |
| 1831324177 | Upmc Passavant | Internal Medicine | 2 St.francis Way, Building 3, Suite 210, Cranberry Township, PA 16066 | 2009-05-15 |
| 1205081346 | Robert Edward Kress | Hearing Instrument Specialist | 2679 Rochester Road, Cranberry Township, PA 16066 | 2008-11-17 |
| Find all providers in zip 16066 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403694 | Children's Hospital of Philadelphia | Dietitian, Registered | 817 E Baltimore Pike Ste A, Kennett Square, PA 19348-1929 | 2020-10-06 |
| 1073141214 | Jessica Esochaghi Enekwogu | Dietitian, Registered | 6160 Springford Dr Apt D4, Harrisburg, PA 17111-6994 | 2020-04-01 |
| 1598396855 | Heidi Herr Kecskemethy | Dietitian, Registered | 515 S Providence Rd, Wallingford, PA 19086-6938 | 2020-01-27 |
| 1578970638 | Wendi Connelly | Dietitian, Registered | 370 Waterhouse Rd, Cambridge Springs, PA 16403-9120 | 2014-07-21 |
| 1043543770 | Jean Elena Tomezsko | Dietitian, Registered | 4 Prince Eugene Ln, Media, PA 19063-5211 | 2009-09-14 |
| 1609022284 | Kristine Lewis | Dietitian, Registered | 1145 N Mayfield Dr, Clarion, PA 16214-6149 | 2008-08-14 |
| 1861440307 | Valinda Lee Baldwin | Dietitian, Registered | 6945 U.S. Route 322, Suite 640 Cranberry Mall, Cranberry, PA 16319 | 2006-05-05 |
| 1700390010 | Sherry Zalewski Thrash | Dietitian, Registered | 500 University Dr, Hershey, PA 17033-2360 | 2017-11-22 |
| 1912430026 | Michael Nornhold II | Dietitian, Registered | 100 N Academy Ave, Danville, PA 17822-9800 | 2017-04-05 |
| 1174973440 | Dorie Ellen Obertello | Dietitian, Registered | 160 E Erie Ave, Department of Clinical Nutrition, Philadelphia, PA 19134-1011 | 2016-06-17 |
| Find all providers with the same taxonomy | ||||
| City | CRANBERRY TOWNSHIP |
| Zip Code | 16066 |
Please comment or provide details below to improve the information on CARLY CLARK.
| 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.