SARAH ELIZABETH CLARK (NPI# 1619221884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619221884 |
| Entity Type | Individual |
| Full Name | SARAH ELIZABETH CLARK |
| Credential | APRN |
| Practice Address |
1023 New Moody Ln Suite 102 La Grange KY 40031 |
| Mailing Address |
2700 Stanley Gault Pkwy Ste 129 Louisville KY 40223-5176 |
| Practice Telephone | 5022220598 |
| Practice Fax Number | 5022227446 |
| Mailing Telephone | 5022534900 |
| Mailing Fax Number | 5024895751 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007451 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100224760 | 05 |
| 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 |
1023 NEW MOODY LN SUITE 102 |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144270018 | Paige Primary Care Center | Internal Medicine | 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | 2006-05-11 |
| 1760749956 | First Urology, Psc | Nurse Practitioner | 1023 New Moody Ln, Suite 202, La Grange, KY 40031-9177 | 2012-04-12 |
| 1033484498 | Sarah Thayer | Internal Medicine | 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | 2012-03-19 |
| 1174837637 | Jamie C. Hubbard | Specialist/Technologist, Other | 1023 New Moody Ln, Suite 102, La Grange, KY 40031-9177 | 2010-07-27 |
| 1215268701 | Kristi Leigh Tingle | Nurse Practitioner | 1023 New Moody Ln, Ste 103, La Grange, KY 40031-9177 | 2010-01-22 |
| 1881920759 | Shiela Rhoads, M.d., Pllc | Internal Medicine | 1023 New Moody Ln, Suite 202 A, La Grange, KY 40031-9177 | 2009-10-27 |
| 1023217197 | Bluegrass Orthopedic Group Psc | Specialist | 1023 New Moody Ln, Ste 102, La Grange, KY 40031-9177 | 2007-07-17 |
| 1558564633 | Nicholas Allen Kenney | Orthopaedic Surgery | 1023 New Moody Ln, Suite 102, La Grange, KY 40031-9177 | 2007-06-07 |
| 1235270448 | Robin Grant Kindig | Internal Medicine | 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | 2007-02-09 |
| 1871652586 | David O Watts | Specialist/Technologist, Other | 1023 New Moody Ln, Suite 102, La Grange, KY 40031-9177 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880932 | Sarah Martin | Nurse Practitioner | 2 Saint Marks Pl Ste 160, La Grange, TX 78945-1253 | 2018-08-09 |
| 1053850370 | Lauren Nicole Wimsatt | Nurse Practitioner | 1808 Fort Pickens Rd, La Grange, KY 40031-8707 | 2017-02-20 |
| 1467803825 | Susan Sanford | Nurse Practitioner | 3505 Potomac Ct, La Grange, KY 40031-9650 | 2016-06-28 |
| 1376914887 | Megan J Regal | Nurse Practitioner | 1031 New Moody Ln Ste 300, La Grange, KY 40031-9178 | 2015-10-09 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1801149661 | Jacqueline Price Burnette | Nurse Practitioner | 753 E Travis St, La Grange, TX 78945-2353 | 2012-10-18 |
| 1780935684 | Jacqueline E Trcka | Nurse Practitioner | 4727 Willow Springs Rd Ste 3s, La Grange, IL 60525-6153 | 2012-10-02 |
| 1366636904 | Curtiss Surgical Assistants LLC. | Nurse Practitioner | 4707 Heron View Pl, La Grange, KY 40031-6709 | 2007-08-28 |
| 1982730917 | Allison Fields Bowen | Nurse Practitioner | 1023 New Moody Ln Ste 201, La Grange, KY 40031-9181 | 2007-02-26 |
| 1144854456 | Melissa Rene Wilkerson | Nurse Practitioner | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2020-02-25 |
| Find all providers in LA GRANGE | ||||
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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.