THERESA CLARK (NPI# 1588118665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588118665 |
| Entity Type | Individual |
| Full Name | THERESA CLARK |
| Practice Address |
6541 Furnace Rd Ontario NY 14519-9701 |
| Practice Telephone | 5858311829 |
| Mailing Telephone | 5858311829 |
| Enumeration Date | 2016-08-07 |
| Last Update Date | 2016-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 322906-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003056383 | Theresa Carlisle Clark | Registered Nurse | 1900 Carriage Dr, Phenix City, AL 36867-2116 | 2009-02-26 |
| 1548441710 | Theresa M. Clark | Marriage & Family Therapist | 5 Colony Street, Suites 301/303, Meriden, CT 06451-3272 | 2007-11-16 |
| 1972700912 | Theresa Marie Clark | Counselor | 108 E 12th St, Suite 1, Hays, KS 67601-3668 | 2007-07-02 |
| 1013120948 | Theresa S. Clark | Dietitian, Registered | 530 Noel Ave, Hopkinsville, KY 42240-1386 | 2007-05-07 |
| 1548893506 | Theresa Ann Clark | Nurse Practitioner | 420 N Main St, Middlebury, IN 46540-8985 | 2020-02-18 |
| 1457688384 | Theresa Clark | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2009-11-13 |
| 1104079839 | Theresa Clark | Registered Nurse | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2008-10-26 |
| 1659520799 | Theresa Clark | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-09-12 |
| 1104015155 | Theresa L Clark | Psychiatry & Neurology | 777 Bannock St, Denver, CO 80204-4507 | 2007-10-16 |
| 1528104650 | Theresa Ross Clark | Internal Medicine | 2067 W Vista Way, Suite 200, Vista, CA 92083-6031 | 2007-01-29 |
| Street Address |
6541 FURNACE RD |
| City | ONTARIO |
| State | NY |
| Zip Code | 14519-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396274 | Family Health Np Immediate Care, Pllc | Nurse Practitioner | 6280 Furnace Road, Ontario, NY 14519 | 2018-11-30 |
| 1194855940 | Elias Konstantinou | Dentist | 6277 Furnace Rd, Ontario, NY 14519 | 2007-03-07 |
| 1205923232 | Neal T. Smith & Jeannine L. Dolan, M.d.'s | Family Medicine | 5973 Walworth Road, Ontario, NY 14519 | 2006-10-10 |
| 1063955896 | Shannon Bassett | Registered Nurse | 1784 Ridge Rd., Ontario, NY 14519-0155 | 2016-11-28 |
| 1912333717 | Jessica Lynn Villa | Licensed Practical Nurse | 6094 Trillium Trl, Ontario, NY 14519-8614 | 2013-09-25 |
| 1821333006 | Tammy Currier | Licensed Practical Nurse | 6183 Lillypond Way, Ontario, NY 14519-8622 | 2012-11-29 |
| 1427380518 | Laura Anne Miller | Pharmacist | 6296 Ontario Center Rd, Ontario, NY 14519-8643 | 2010-02-01 |
| 1265957880 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6296 Ontario Center Rd, Ontario, NY 14519-8643 | 2017-08-04 |
| 1225381411 | Tammy L Steurrys | Licensed Practical Nurse | 6279 Knickerbocker Rd, Ontario, NY 14519-8804 | 2012-10-25 |
| 1508321126 | Kelley M Schneider | Licensed Practical Nurse | 165 Macintosh Rd, Ontario, NY 14519-8821 | 2019-02-07 |
| Find all providers in zip 14519 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041921 | Lindsay Rae Paris | Licensed Practical Nurse | 2111 Bear Creek Dr, Ontario, NY 14519-9730 | 2019-12-22 |
| 1154969061 | Cynthia K Phelps | Licensed Practical Nurse | 3575 Park Ave W, Ontario, OH 44906-1048 | 2019-12-11 |
| 1922663343 | Angelica Lynnette Vega | Licensed Practical Nurse | 146 State Route 104 Apt 4e, Ontario, NY 14519-8944 | 2019-05-01 |
| 1508321126 | Kelley M Schneider | Licensed Practical Nurse | 165 Macintosh Rd, Ontario, NY 14519-8821 | 2019-02-07 |
| 1346710480 | Jamie Ann Brown | Licensed Practical Nurse | 2036 Willowood Dr N, Ontario, OH 44906-1764 | 2018-12-02 |
| 1801302690 | Michelle Suzanne Petty | Licensed Practical Nurse | 95 S Ireland Blvd, Ontario, OH 44906-2220 | 2017-12-16 |
| 1538681267 | Angela M Brown | Licensed Practical Nurse | 2173 Ridge Rd, Ontario, NY 14519-9556 | 2017-07-14 |
| 1972057792 | Sheryl Sommers | Licensed Practical Nurse | 146 State Route 104 Apt 5a, Ontario, NY 14519-8945 | 2016-08-10 |
| 1770946618 | Ashley Grimshaw | Licensed Practical Nurse | 2201 Bear Creek Dr, Ontario, NY 14519-9725 | 2016-03-29 |
| 1811353980 | Marcia Woodard | Licensed Practical Nurse | 341 Haley Rd, Ontario, NY 14519-9174 | 2016-01-05 |
| Find all providers in ONTARIO | ||||
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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.