ELLEN MICHELLE CLARK (NPI# 1538708086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538708086 |
| Entity Type | Individual |
| Full Name | ELLEN MICHELLE CLARK |
| Other Name | ELLEN M. HENDRICKS |
| Credential | APN |
| Practice Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175287541 |
| Practice Fax Number | 2177530815 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209020506 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083596 | Ellen Margaret Clark | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3175 | 2019-03-21 |
| 1891275780 | Ellen C Clark | Behavior Technician | 7725 W 87th St, Overland Park, KS 66212-1905 | 2018-08-20 |
| 1194997486 | Ellen B Clark | Counselor | 4117 Liberty Ave, Entrance 3, Pittsburgh, PA 15224-1446 | 2008-03-27 |
| 1316157399 | Ellen Marie Clark | Speech-Language Pathologist | 450 W Il Route 22, Barrington, IL 60010-7509 | 2007-05-22 |
| 1497833321 | Ellen M Clark | Psychologist | 2201 Bergenline Ave, 2nd Floor Therapeutic Nursery, Union City, NJ 07087-3582 | 2006-11-01 |
| 1114960267 | Ellen G I Clark | Pathology | 77 Pringle Way, Washoe Medical Center, Reno, NV 89502 | 2006-06-14 |
| Street Address |
1025 S 6TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244241 | Christopher A Sprinkel | Physician Assistant | 1025 S 6th St, Springfield, IL 62703-2403 | 2005-06-08 |
| 1629682596 | Mackenzie Marie Bowers | Nurse Practitioner | 1025 S 6th St, Springfield, IL 62703-2403 | 2020-09-08 |
| 1164031803 | Erica J Carr | Nurse Practitioner | 1025 S 6th St, Springfield, IL 62703-2403 | 2020-07-29 |
| 1770104960 | Ashlee D. Schoby | Nurse Practitioner | 1025 S 6th St, Springfield, IL 62703-2403 | 2020-04-29 |
| 1245869197 | Megan M Ferrill | Physician Assistant | 1025 S 6th St, Springfield, IL 62703-2403 | 2020-04-03 |
| 1649805706 | Sarah E. Treat | Physician Assistant | 1025 S 6th St, Springfield, IL 62703-2403 | 2020-03-10 |
| 1730724386 | Hannah R Burdell | Nurse Practitioner | 1025 S 6th St, Springfield, IL 62703-2403 | 2019-11-07 |
| 1689218950 | Rachel L Puckett | Physician Assistant | 1025 S 6th St, Springfield, IL 62703-2403 | 2019-10-30 |
| 1982259479 | Kastin I Engeling | Nurse Practitioner | 1025 S 6th St, Springfield, IL 62703-2403 | 2019-08-02 |
| 1356806582 | Abigail Lauren Morgan | Nurse Practitioner | 1025 S 6th St, Springfield, IL 62703-2403 | 2019-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on ELLEN MICHELLE 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.