TYMIR SHAKEER CLARK (NPI# 1588126239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588126239 |
| Entity Type | Individual |
| Full Name | TYMIR SHAKEER CLARK |
| Practice Address |
2219 Edgley St Philadelphia PA 19121-1300 |
| Practice Telephone | 2672589167 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN307634 | PA | Nursing Service Providers |
| Street Address |
2219 EDGLEY ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19121-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975445 | Shaun Shields | Specialist/Technologist | 1814 N. Broad Street, Philadelphia, PA 19121 | 2020-02-27 |
| 1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
| 1003398462 | Lyn Morrissa Meyerhoff | Specialist/Technologist | 1800 N. Broad Street, Philadelphia, PA 19121 | 2018-09-03 |
| 1356853576 | George E Kinsler | Pharmacist | 1941 N 24th St, Phila, PA 19121 | 2017-10-27 |
| 1205358652 | Perfect Love & Care LLC | Home Health | 1812 North Croskey Street, Philadelphia, PA 19121 | 2017-07-07 |
| 1427405257 | Rite-care Pharmacy Inc. | Pharmacy | 2213 Ridge Ave., Philadelphia, PA 19121 | 2016-05-23 |
| 1356735831 | Eguono Eduvie | Psychiatry & Neurology | 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 | 2015-03-24 |
| 1285986828 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St., Philadelphia, PA 19121 | 2012-10-05 |
| 1568764470 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St, Philadelphia, PA 19121 | 2010-11-29 |
| 1730408683 | Pamela Lewis | Registered Nurse | Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 | 2010-05-18 |
| Find all providers in zip 19121 | ||||
| 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 |
|---|---|---|---|---|
| 1659987907 | Khatifa Bundy | Licensed Practical Nurse | 2327 W Hagert St, Philadelphia, PA 19132-4246 | 2020-09-22 |
| 1457967903 | Assanatu Monorma Bah | Licensed Practical Nurse | 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 | 2020-09-21 |
| 1376159988 | Sierra Alexis Gadson | Licensed Practical Nurse | 2151 Knorr St, Philadelphia, PA 19149-2307 | 2020-09-18 |
| 1285246751 | Anisha Streeter | Licensed Practical Nurse | 152 Rosemar St, Philadelphia, PA 19120-1943 | 2020-08-17 |
| 1194333708 | Stella Boapiah | Licensed Practical Nurse | 8767 Cottage St, Philadelphia, PA 19136-2123 | 2020-07-20 |
| 1083222178 | France Dhaiti | Licensed Practical Nurse | 624 Adams Ave, Philadelphia, PA 19120-2112 | 2020-07-15 |
| 1831716810 | Elizabeth Nija Bates | Licensed Practical Nurse | 6020 N 19th St, Philadelphia, PA 19141-1316 | 2020-06-25 |
| 1730715947 | Danyelle Alston-johnson | Licensed Practical Nurse | 915 Flanders Rd, Philadelphia, PA 19151-3011 | 2020-03-19 |
| 1760018220 | Daneyah Boyer | Licensed Practical Nurse | 2015 W Godfrey Ave, Philadelphia, PA 19138-3035 | 2020-03-17 |
| 1326674805 | Deajah Burney-wright | Licensed Practical Nurse | 3146 N Hemberger St, Philadelphia, PA 19132-1432 | 2020-03-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19121 |
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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.