MS. SHELLEY B CLARK (NPI# 1689066367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689066367 |
| Entity Type | Individual |
| Full Name | MS. SHELLEY B CLARK |
| Credential | LPTA |
| Practice Address |
6520 Sunscope Dr Ocean Springs MS 39564-8690 |
| Practice Telephone | 2288751177 |
| Practice Fax Number | 2288724009 |
| Mailing Telephone | 2288751177 |
| Mailing Fax Number | 2288724009 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | PTA4100 | MS | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730504739 | Shelley Clark | Physical Therapy Assistant | 30529 Three Groves Rd, Alma, MO 64001-8122 | 2014-02-27 |
| 1003196718 | Shelley Clark | Physical Therapist | 2803 Rockridge Ct Apt 5, Missoula, MT 59808-9048 | 2011-08-25 |
| 1497371520 | Shelley Clark | Optometrist | 33 W 42nd St, New York, NY 10036-8005 | 2020-06-24 |
| 1023573102 | Shelley Ann Clark | Registered Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2019-02-04 |
| 1093158925 | Shelley L Clark | Nurse Practitioner | 301 Henry St, North Vernon, IN 47265-1030 | 2013-04-10 |
| 1942551478 | Shelley Clark | Counselor | 750 Morris Rd Se, Center for Recovery and Wellness, Los Lunas, NM 87031-5242 | 2012-09-24 |
| Street Address |
6520 SUNSCOPE DR |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-8690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841280294 | Clc of Ocean Springs, LLC | Skilled Nursing Facility | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2005-10-26 |
| 1619421120 | Karen Champaigne | Speech-Language Pathologist | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2016-08-12 |
| 1366835480 | Jeannie Caillouet | Skilled Nursing Facility | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2015-03-13 |
| 1932592094 | Jenna Morgan | Skilled Nursing Facility | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2015-03-13 |
| 1669865788 | Encore Rehab | Skilled Nursing Facility | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2015-03-13 |
| 1952794224 | Matthew Stephen Sumrall | Occupational Therapy Assistant | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2015-03-11 |
| 1346633617 | Chelsie Brooks | Physical Therapy Assistant | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2015-03-11 |
| 1265861736 | Dana Suzanne Mitchell | Speech-Language Pathologist | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2013-11-05 |
| 1255588844 | Irna Leshayne Beckham | Occupational Therapist | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
| 1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
| 1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
| Find all providers in zip 39564 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841280294 | Clc of Ocean Springs, LLC | Skilled Nursing Facility | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2005-10-26 |
| 1730171000 | Pensacola Health Trust Inc | Skilled Nursing Facility | 1199 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2005-08-22 |
| 1366835480 | Jeannie Caillouet | Skilled Nursing Facility | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2015-03-13 |
| 1932592094 | Jenna Morgan | Skilled Nursing Facility | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2015-03-13 |
| 1669865788 | Encore Rehab | Skilled Nursing Facility | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2015-03-13 |
| 1619138476 | Ms Hud Ocean Springs LLC | Skilled Nursing Facility | 1199 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1053834747 | St. Catherine's Village, Inc | Skilled Nursing Facility | 200 Dominican Dr, Madison, MS 39110-8630 | 2017-07-25 |
| 1851839435 | Parker Medical Services, LLC | Skilled Nursing Facility | 1060 Lisa Ln, Terry, MS 39170-8092 | 2017-02-03 |
| 1114386687 | Genesis Healthcare | Skilled Nursing Facility | 2142 E Whitworth St, Hazlehurst, MS 39083-9277 | 2016-02-12 |
| 1003274150 | Vincent Huffstutler | Skilled Nursing Facility | 201 Mary Ellen Dr, Ripley, MS 38663-1658 | 2016-02-04 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1679819890 | Global Home Care, LLC | Skilled Nursing Facility | 4213 Pruitt Rd, West Point, MS 39773-4517 | 2012-12-14 |
| 1740526961 | Better Living Home Care, LLC | Skilled Nursing Facility | 1295 Simpson Park Rd, Weir, MS 39772-8805 | 2012-12-14 |
| 1700132065 | The Arbor | Skilled Nursing Facility | 600 S Pear Orchard Rd, Ridgeland, MS 39157-4221 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
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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.