SARAH J CLARK (NPI# 1528377868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528377868 |
| Entity Type | Individual |
| Full Name | SARAH J CLARK |
| Other Name | SARAH J DOERR |
| Credential | APNP |
| Practice Address |
10400 75th St Kenosha WI 53142 |
| Mailing Address |
10400 75th St Kenosha WI 53142-7884 |
| Practice Telephone | 2629487000 |
| Practice Fax Number | 4143854436 |
| Mailing Telephone | 2629487000 |
| Mailing Fax Number | 4143854436 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2018-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4201 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4201 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3811 Spring St, Suite 202, Racine, WI 534051667 | 2626878374 | 2626878194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1992356901 | Sarah Ruth Clark | Technician | 1181 Woodworth Rd, Grandview, WA 98930-9769 | 2019-09-23 |
| 1245887678 | Sarah E Clark | Specialist/Technologist | 1322 Kent St, Sturgis, MI 49091-2334 | 2019-08-21 |
| 1144881780 | Sarah Clark | Counselor | 9460 N Delaware St, Indianapolis, IN 46240-1044 | 2019-06-25 |
| 1164910923 | Sarah Clark | Dietitian, Registered | 8100 Ravines Edge Court, Columbus, OH 43235 | 2018-04-27 |
| 1265931976 | Sarah Clark | Social Worker | 3168 33rd St Apt 4b, Astoria, NY 11106-2418 | 2018-02-08 |
| 1871045179 | Sarah Clark | Dental Hygienist | 20 Northwood Ct, Wiscasset, ME 04578-4287 | 2016-11-03 |
| 1720439375 | Sarah Clark | Dietitian, Registered | 9 Forrest St, Mill Valley, CA 94941-2041 | 2016-06-24 |
| 1831548973 | Sarah Elizabeth Clark | Counselor | 7601 S Redwood Rd Ste E, West Jordan, UT 84084-4007 | 2016-06-09 |
| 1316337744 | Sarah Kay Clark | Registered Nurse | 1100 Southfield Dr Ste 1210, Plainfield, IN 46168-4499 | 2015-01-23 |
| Street Address |
10400 75TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546737 | Mea-aea Kenosha Sc | Family Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2005-08-23 |
| 1548877707 | Megan Labine | Dietitian, Registered | 10400 75th St, Kenosha, WI 53142-7884 | 2020-09-30 |
| 1730796574 | Saralyn Paredes | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-7884 | 2020-09-25 |
| 1518586965 | Ariel Adelsen | Registered Nurse | 10400 75th St, Kenosha, WI 53142-7884 | 2020-04-15 |
| 1134757073 | Amber Jirschele | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-8323 | 2020-03-27 |
| 1912539974 | Kristina A Roscizewski | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-7884 | 2020-02-07 |
| 1386274413 | Ethan Nathaniel Mcfaddin | Pharmacist | 10400 75th St, Kenosha, WI 53142-7884 | 2020-01-16 |
| 1972133031 | Patricia Grzyb | Physician Assistant | 10400 75th St, Kenosha, WI 53142-7884 | 2020-01-16 |
| 1144873654 | Lauren Cornejo | Occupational Therapist | 10400 75th St, Kenosha, WI 53142-8323 | 2019-07-23 |
| 1245710771 | Brenda Joyce Woodhull | Registered Nurse | 10400 75th St, Kenosha, WI 53142-7884 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| 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 |
|---|---|---|---|---|
| 1710518238 | Roshonda E Frazier | Nurse Practitioner | 4517 38th Ave, Kenosha, WI 53144-3643 | 2020-02-03 |
| 1497228712 | Shannon Godbolt | Nurse Practitioner | 6308 8th Ave # 3030, Kenosha, WI 53143-5031 | 2019-01-09 |
| 1568821841 | Wisconsin Tele-med Network | Nurse Practitioner | 6923 39th Ave, Kenosha, WI 53142-7129 | 2016-02-16 |
| 1588041891 | Melissa Swierad | Nurse Practitioner | 6308 8th Ave Ste 3040, Kenosha, WI 53143-5031 | 2015-05-06 |
| 1962493635 | Mary Jamie Cairo | Nurse Practitioner | 3601 30th Ave, Ste 203, Kenosha, WI 53144-1695 | 2005-11-02 |
| 1568459568 | Gwendolyn M Perry-brye | Nurse Practitioner | 8600 Sheridan Rd Ste 600, Kenosha, WI 53143-6515 | 2005-10-04 |
| 1730796574 | Saralyn Paredes | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-7884 | 2020-09-25 |
| 1053926949 | Carly Pickos | Nurse Practitioner | 2707 15th Pl, Kenosha, WI 53140-4947 | 2020-09-09 |
| 1669094165 | Simona Slavinskiene | Nurse Practitioner | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-05-07 |
| 1134757073 | Amber Jirschele | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-8323 | 2020-03-27 |
| Find all providers in KENOSHA | ||||
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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.