MS. CONNIE RENEA CLARK (NPI# 1679907513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679907513 |
| Entity Type | Individual |
| Full Name | MS. CONNIE RENEA CLARK |
| Credential | LPN |
| Practice Address |
2410 Charlotte Ave Nashville TN 37203-1517 |
| Practice Telephone | 9723914181 |
| Practice Fax Number | 6153274536 |
| Mailing Telephone | 9723914181 |
| Mailing Fax Number | 6153274536 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 0000072507 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500907 | Connie Clark | Physical Therapist | 19280 Indian Summer Ln, Monument, CO 80132-9433 | 2018-06-05 |
| 1528489002 | Connie Clark | Counselor | 620 Wellhouse Dr, Jacksonville, FL 32220-1367 | 2013-12-30 |
| 1205913191 | Connie Lynn Clark | Counselor | 955 S Durkin Dr, Ste. B, Springfield, IL 62704-1370 | 2006-11-01 |
| 1942572698 | Connie Clark | Counselor | 2230 Boyd Rd, Murrysville, PA 15632-8997 | 2012-01-26 |
| 1336303106 | Connie Ruth Clark | Nurse Practitioner | 710 Sw Rock Creek Dr, Stevenson, WA 98648-4418 | 2008-07-10 |
| Street Address |
2410 CHARLOTTE AVE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740457613 | Stephen Douglas Williams | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2008-05-10 |
| 1033681200 | Amy Marie Turner | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-12-27 |
| 1558833855 | Ryan Watlington | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-12-26 |
| 1477032472 | Emily Bird Cohen | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-08-09 |
| 1003302175 | Doris Bobbitt | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-07-02 |
| 1679069793 | Jerry C Watkins Jr. | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-07-02 |
| 1639662075 | Roslyn Revella Penn | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-06-11 |
| 1417445529 | Alexander Haney | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-04-24 |
| 1548711286 | Patricia Larsen | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2016-10-18 |
| 1013467182 | Kemba Turner | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2016-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| 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 |
|---|---|---|---|---|
| 1063078277 | Yvonne Henderson | Licensed Practical Nurse | 992 Dozier Pl # 9, Nashville, TN 37216-3604 | 2019-05-13 |
| 1518407998 | Betty Lou Birchett | Licensed Practical Nurse | 18429 Conservation Drive, Nashville, IL 62263 | 2017-03-03 |
| 1194269324 | Catherine Marie Sutton | Licensed Practical Nurse | 8145 Maple Grove Rd, Nashville, MI 49073-9595 | 2016-12-07 |
| 1629383948 | Jennifer Kristine Forgett | Licensed Practical Nurse | 230 Venture Cir., Nashville, TN 37228 | 2010-08-11 |
| 1376876383 | Sherissa R Phillips | Licensed Practical Nurse | 1218 Howard Ave, Nashville, TN 37216-2717 | 2009-09-09 |
| 1184817272 | Katie Louise Turner | Licensed Practical Nurse | 1706 26th Ave S, Nashville, TN 37212-3307 | 2007-08-22 |
| 1497353742 | Breona Hassan | Licensed Practical Nurse | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2020-10-09 |
| 1215542147 | Visionary Concepts | Licensed Practical Nurse | 516 Village Ct, Nashville, TN 37206-3135 | 2020-09-08 |
| 1588272918 | Terrie Lynn Johnson | Licensed Practical Nurse | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2020-07-22 |
| 1366068421 | Laura Lynn West | Licensed Practical Nurse | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2020-06-24 |
| Find all providers in NASHVILLE | ||||
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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.