AUDRA CLARK (NPI# 1679743397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679743397 |
| Entity Type | Individual |
| Full Name | AUDRA CLARK |
| Credential | BS |
| Practice Address |
101 North Cherry Hamburg AR 71646 |
| Practice Telephone | 8708534100 |
| Practice Fax Number | 8708534105 |
| Mailing Telephone | 8708534100 |
| Mailing Fax Number | 8708534105 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578907945 | Audra Tess Clark | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2013-04-29 |
| Street Address |
101 NORTH CHERRY |
| City | HAMBURG |
| State | AR |
| Zip Code | 71646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821267006 | Daryl L Daniels Jr. | Case Manager/Care Coordinator | 101 North Cherry, Hamburg, AR 71646 | 2008-02-21 |
| 1689844656 | Tanya Beth Tippen | Case Manager/Care Coordinator | 101 North Cherry, Hamburg, AR 71646 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699130468 | Mainline Health Systems, Inc. | Clinic/Center | 206 S Bartlett, Hamburg, AR 71646 | 2015-12-22 |
| 1578980595 | Cynthia Dianne Stahley | Nurse Practitioner | 1109 Cub Drive, Hamburg, AR 71646 | 2014-03-27 |
| 1215161708 | Cleveland County School District | Local Education Agency (LEA) | 202 E Parker Street, Hamburg, AR 71646 | 2009-05-12 |
| 1013159557 | Kara Elizabeth Morgan | Dentist | 303 W. Lincoln Street, Hamburg, AR 71646 | 2009-03-30 |
| 1558530733 | Leslie Stephanie Hodge | Case Manager/Care Coordinator | 101 N Cherry, Hamburg, AR 71646 | 2008-02-21 |
| 1033252267 | Footes Super Drug Inc | Pharmacy | 109 East Adams Street, Hamburg, AR 71646 | 2007-02-15 |
| 1922193937 | William Eugene Foote Iv | Dentist | 201 S Cherry St, Hamburg, AR 71646 | 2006-10-04 |
| 1437632627 | Mainline Health Systems, Inc | Clinic/Center | 1109 Cub Drive, Hamburg, AR 71646 | 2018-09-13 |
| 1174793152 | Melissa O Hollis | Case Manager/Care Coordinator | 101 N Cherry, Hamburg, AR 71646 | 2008-03-06 |
| 1922277094 | Emily Elisabeth Bendinelli | Registered Nurse | 101 N Cherry, Hamburg, AR 71646 | 2008-02-22 |
| Find all providers in zip 71646 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790143550 | Joseph Bellanti | Case Manager/Care Coordinator | 55 Oakland Pl, Hamburg, NY 14075-4456 | 2016-02-08 |
| 1558530733 | Leslie Stephanie Hodge | Case Manager/Care Coordinator | 101 N Cherry, Hamburg, AR 71646 | 2008-02-21 |
| 1821267006 | Daryl L Daniels Jr. | Case Manager/Care Coordinator | 101 North Cherry, Hamburg, AR 71646 | 2008-02-21 |
| 1417573064 | Sheana M Vandyne | Case Manager/Care Coordinator | 140 Pine St., Hamburg, NY 14075 | 2020-06-19 |
| 1992346530 | Nicole Rose Tomasik | Case Manager/Care Coordinator | 140 Pine St., Hamburg, NY 14075 | 2019-10-04 |
| 1477926012 | Susan Schlegel | Case Manager/Care Coordinator | 6490 Taylor Rd Lot 17, Hamburg, NY 14075-6565 | 2015-11-04 |
| 1043681398 | Reshanae Crift | Case Manager/Care Coordinator | 101 S Main St, Hamburg, AR 71646-3225 | 2015-10-13 |
| 1225382625 | Chatara Williams | Case Manager/Care Coordinator | 101 S Main St, Hamburg, AR 71646-3225 | 2012-11-07 |
| 1962756361 | Nicholas Steelman | Case Manager/Care Coordinator | 101 S Main St, Hamburg, AR 71646-3225 | 2012-11-07 |
| 1619109741 | Andrea Akins | Case Manager/Care Coordinator | 101 S Main St, Hamburg, AR 71646-3225 | 2009-08-24 |
| Find all providers in HAMBURG | ||||
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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.