EMBRA CLARK (NPI# 1588142103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588142103 |
| Entity Type | Individual |
| Full Name | EMBRA CLARK |
| Credential | LVN |
| Practice Address |
15152 Elstree Dr Channelview TX 77530-4540 |
| Practice Telephone | 2817399367 |
| Mailing Telephone | 2817399367 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 146768 | TX | Nursing Service Providers |
| Street Address |
15152 ELSTREE DR |
| City | CHANNELVIEW |
| State | TX |
| Zip Code | 77530-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497137913 | Fides Pain and Anesthesia Consultants, Pllc | Anesthesiology | 1431 Goswell Ln, Channelview, TX 77530 | 2015-06-20 |
| 1215356985 | East Houston Primary Care, Pllc | Family Medicine | 155055 East Freeway, Channelview, TX 77530 | 2014-04-10 |
| 1184717480 | Donald Keith Thompson | Counselor | 15267 Mincing Ln., Channelview, TX 77530 | 2006-10-02 |
| 1063515195 | Channelview Pharmacy Limited | Pharmacy | 441 Sheldon Rd, Ste C, Channelview, TX 77530 | 2006-09-06 |
| 1932137908 | Wayne Gale Mulloy | Family Medicine | 15035a East Frwy, Channelview, TX 77530 | 2006-06-29 |
| 1841253812 | Dva Healthcare Renal Care Inc | Clinic/Center | 777 Sheldon Rd, Ste C, Channelview, TX 77530 | 2006-04-10 |
| 1780652248 | Channelview Ems | Ambulance | 16010 Ridlon, Channelview, TX 77530 | 2006-03-10 |
| 1134197601 | Texas Medical Transport | Ambulance | 16229 Market St, Channelview, TX 77530 | 2006-03-10 |
| 1891277216 | Laura Stimpson | Pharmacist | 14806 Woodforest Blvd, Channelview, TX 77530 | 2018-09-01 |
| 1386862613 | John T Nguyen Dds Pa | Dentist | 441 Sheldon Rd, Suite D, Channelview, TX 77530 | 2007-04-23 |
| Find all providers in zip 77530 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1891274734 | Diane Rodriguez Pequeno | Licensed Vocational Nurse | 15014 Rockington Ln, Channelview, TX 77530-2295 | 2018-08-10 |
| 1982804530 | Judy Renee Ratcliff | Licensed Vocational Nurse | 14931 Lofton St, Channelview, TX 77530-3227 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215933 | Alexis D Wilson | Licensed Vocational Nurse | 1610 Maple Ave, Midland, TX 79705-6910 | 2020-11-06 |
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1881295053 | Jaelynda Prothero | Licensed Vocational Nurse | 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 | 2020-11-04 |
| 1780285130 | Chinonso Jonathan Anyiwo | Licensed Vocational Nurse | 804 Serenity Dr, Cedar Hill, TX 75104-3182 | 2020-11-03 |
| 1972104362 | Adrianna Orosco | Licensed Vocational Nurse | 5511 Shorthorn Dr, Laredo, TX 78046-6179 | 2020-11-03 |
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | CHANNELVIEW |
| Zip Code | 77530 |
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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.