MEGAN CLARK (NPI# 1710530050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710530050 |
| Entity Type | Individual |
| Full Name | MEGAN CLARK |
| Credential | NP |
| Practice Address |
55 Fruit Street Interventional Radiology/blake 298 Boston MA 02114-2696 |
| Practice Telephone | 6177268488 |
| Mailing Telephone | 6177268488 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN2262341 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN2262341 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932661337 | Megan Clark | Speech-Language Pathologist | 5150 Village Park Dr Se Ste 2, Bellevue, WA 98006-6652 | 2019-04-03 |
| 1134681737 | Megan Clark | Behavioral Analyst | 102 Shaw Rd, Petersham, MA 01366-6600 | 2019-04-02 |
| 1972047983 | Megan Renee Clark | Registered Nurse | 1060 County Route 82, Troupsburg, NY 14885 | 2016-12-09 |
| 1841732997 | Megan Clark | Private Vehicle | 224 N East St, Lebanon, IN 46052-2224 | 2016-11-07 |
| 1659607513 | Megan Elizabeth Clark | Marriage & Family Therapist | 102 Unwin Pl, Chapel Hill, NC 27516-4453 | 2009-10-28 |
| 1588271209 | Megan Clark | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2020-09-27 |
| 1285109942 | Megan F Clark | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2018-10-09 |
| 1073094371 | Megan Latara Clark | Physical Therapy Assistant | 2410 E Riverside Dr Ste B1, Austin, TX 78741-3052 | 2018-08-24 |
| 1437697836 | Megan Montgomery Clark | Counselor | 4232 Shopton Rd, Charlotte, NC 28217-3016 | 2017-02-06 |
| 1164871299 | Megan Garlanda Clark | Counselor | 2883 Deep Branch Rd, Lumberton, NC 28360-4904 | 2016-06-09 |
| Street Address |
55 FRUIT STREET INTERVENTIONAL RADIOLOGY/BLAKE 298 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854094 | Adam Scott Landsman | Podiatrist | 55 Fruit Street, Dept. of Orthopaedics/podiatry Service, Boston, MA 02114-2696 | 2005-07-08 |
| 1013532373 | Fei Wu | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb444, Boston, MA 02114-2696 | 2020-06-12 |
| 1376163816 | Amine Mohamed Marc Awad | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Internal Medicine Residency Program Manager, Gary Bigel, Boston, MA 02114 | 2020-04-24 |
| 1760011167 | Ellen Clare Mail | Social Worker | 55 Fruit Street, Wacc 023, Boston, MA 02114 | 2020-04-07 |
| 1831726199 | Bennet S Cho | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb-425, Boston, MA 02114 | 2020-03-26 |
| 1841827276 | Brian Jacob Kinsman | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb444, Boston, MA 02114 | 2020-03-25 |
| 1700413408 | Madhur Nayan | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Boston, MA 02114 | 2020-03-24 |
| 1629605233 | Jimmitti Teysir | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb-7-730, Boston, MA 02114 | 2020-03-24 |
| 1841823010 | Mark Wu | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Department of Radiology, Boston, MA 02114-2698 | 2020-02-17 |
| 1831721430 | William Yuanchen Shi | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Division of Cardiac Surgery, Cox 630, Massachusetts Gen, Boston, MA 02114 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071601 | Katherine Parrott | Nurse Practitioner | 95 Prince St Apt 8, Boston, MA 02113-1738 | 2020-10-21 |
| 1639712060 | Elizabeth Gina Hayden | Nurse Practitioner | 330 Brookline Ave # Baker304, Boston, MA 02215-5400 | 2019-10-17 |
| 1629539838 | David Anthony Cornetta | Nurse Practitioner | 860 Washington St Fl 7, Boston, MA 02111-1521 | 2019-03-29 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1134637507 | Moriah Kate Jacobellis | Nurse Practitioner | 55 Fruit St # Street8, Boston, MA 02114-2621 | 2018-01-18 |
| 1790295244 | Jaimee Michelle Cathers | Nurse Practitioner | 110 Francis St # St3b, Boston, MA 02215-5501 | 2017-10-10 |
| 1831527340 | Laura Nelson | Nurse Practitioner | 326 Commonwealth Avenue, Apt Br, Boston, MA 02115 | 2013-10-18 |
| 1174890966 | Caitlin Walsh Brennan | Nurse Practitioner | 150 S Huntington Ave # 152m, Boston, MA 02130-4817 | 2011-11-21 |
| 1407162142 | Maura E. Hossack | Nurse Practitioner | 801 Mass Ave, Crosstown 2, Boston, MA 02118-2605 | 2010-08-19 |
| 1790008571 | Amy Catherine Baugh | Nurse Practitioner | 110 Francis St Ste 2a, Boston, MA 02215-5501 | 2010-03-08 |
| Find all providers in BOSTON | ||||
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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.