YVONNE Y. CLARK (NPI# 1710963657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710963657 |
| Entity Type | Individual |
| Full Name | YVONNE Y. CLARK |
| Credential | CNP |
| Practice Address |
1550 Yankee Park Pl Ste A Centerville OH 45458-1838 |
| Practice Telephone | 9374394949 |
| Practice Fax Number | 9374394948 |
| Mailing Telephone | 9374394949 |
| Mailing Fax Number | 9374394948 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2013-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | COA-07925-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2517342 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821105636 | Yvonne Elaine Clark IIi | Nurse's Aide | 7130 Sw 85th Ter, Gainesville, FL 32608-5692 | 2006-08-25 |
| 1841507951 | Yvonne Clark | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2010-09-10 |
| 1629302476 | Yvonne Lopez Clark | Physician Assistant | 3030 Childrens Way, San Diego, CA 92123 | 2009-09-28 |
| 1295861516 | Yvonne Clark | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2007-02-23 |
| Street Address |
1550 YANKEE PARK PL STE A |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45458-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730468679 | Dayton Pain Specialists, LLC | Pain Medicine | 1550 Yankee Park Pl, Centerville, OH 45458-1868 | 2011-08-10 |
| 1619260049 | Pemco Pharmacy | Pharmacy | 1550 Yankee Park Pl, Centerville, OH 45458-1868 | 2011-05-18 |
| 1861521940 | Abdullahi Isa Mubarak | Family Medicine | 1550 Yankee Park Pl, Centerville, OH 45458-1868 | 2007-03-05 |
| 1811940182 | Pain Evaluation & Management Center of Ohio, Inc. | Family Medicine | 1550 Yankee Park Pl, Ste A, Centerville, OH 45458-1838 | 2006-05-18 |
| 1538126479 | Karen Sue Brazie | Physical Medicine & Rehabilitation | 1550 Yankee Park Pl, Ste A, Centerville, OH 45458-1838 | 2006-04-26 |
| 1316912413 | Richard M. Donnini | Pain Medicine | 1550 Yankee Park Pl, Ste A, Centerville, OH 45458-1838 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482936 | Leah Elizabeth Coffman | Nurse Practitioner | 6474 Winthrop Pl, Centerville, OH 45459-2833 | 2020-06-22 |
| 1124679576 | Caren Michael | Nurse Practitioner | 8039 Washington Village Dr Ste 100, Centerville, OH 45458-1877 | 2019-09-26 |
| 1306407101 | Amy L. Goff-yates | Nurse Practitioner | 6179 Laurelhurst Ln, Centerville, OH 45459-2227 | 2019-06-24 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| 1710990148 | Susan Ellen Gaughan | Nurse Practitioner | 87 Liam Lane, Centerville, MA 02632-3354 | 2006-08-15 |
| 1619521028 | Maria Annette Horn | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2019-07-25 |
| 1740832807 | Cathy Sue Ernst | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2019-07-09 |
| 1710549860 | Lisa K Bowman | Nurse Practitioner | 2400 Miami Valley Dr, Centerville, OH 45459 | 2019-06-28 |
| 1467012328 | Danielle Smith | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2019-06-13 |
| 1194282269 | Kelsey Linnette Patterson | Nurse Practitioner | 2350 Miami Valley Dr Ste 500, Centerville, OH 45459-4780 | 2019-02-25 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45458 |
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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.