TAMIKA CLARK (NPI# 1730623141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730623141 |
| Entity Type | Individual |
| Full Name | TAMIKA CLARK |
| Credential | N.P. |
| Practice Address |
4320 Wornall Rd Ste 208 Kansas City MO 64111 |
| Mailing Address |
4320 Wornall Rd Ste 208 Kansas City MO 64111-5964 |
| Practice Telephone | 8165310552 |
| Practice Fax Number | 8167562503 |
| Mailing Telephone | 8165310552 |
| Mailing Fax Number | 8167562503 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2019-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016041521 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201153460C | 05 | |
| MO | 1730623141 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 210 Ne Tudor Rd, Lees Summit, MO 640865696 | 8882563814 | |
| 7500 Metcalf Ave, Overland Park, KS 662042926 | 8559254733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881950830 | Tamika Tashell Clark | Counselor | 4286 Memorial Dr, Ste B, Decatur, GA 30032-1221 | 2012-04-04 |
| Street Address |
4320 WORNALL RD STE 208 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164528626 | Kansas City Kidney Consultants, Pa | Internal Medicine | 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 | 2006-09-15 |
| 1043843139 | Jill M Coan | Nurse Practitioner | 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 | 2020-02-17 |
| 1376106807 | Rachel Joy Luber | Nurse Practitioner | 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 | 2019-04-19 |
| 1316429343 | Jennifer L. Branch | Nurse Practitioner | 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 | 2018-09-06 |
| 1154870624 | Malia Dejong | Nurse Practitioner | 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 | 2016-09-26 |
| 1174901870 | Kyrstin Alexander | Internal Medicine | 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 | 2015-05-13 |
| 1578901625 | Rafael Torosyan | Internal Medicine | 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252193 | Julie O'gara | Nurse Practitioner | 9709 Nw 72nd Ter, Kansas City, MO 64152-1813 | 2020-10-14 |
| 1144836313 | Corinne Lee Nilsen | Nurse Practitioner | 3939 Holmes St, Kansas City, MO 64110-1123 | 2020-09-22 |
| 1821604430 | Nathan D Burditt | Nurse Practitioner | 5917 Mcgee St, Kansas City, MO 64113-2205 | 2020-09-18 |
| 1760094577 | Diana Michelle Hiestand | Nurse Practitioner | 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 | 2020-08-21 |
| 1093324816 | Claire Sorensen | Nurse Practitioner | 427 E 63rd Ter, Kansas City, MO 64110-3333 | 2020-07-28 |
| 1003434705 | Kristin A Meyer | Nurse Practitioner | 700 W 31st St Ste 706, Kansas City, MO 64108-3628 | 2020-07-08 |
| 1023634599 | Sibree L Vickers | Nurse Practitioner | 3627 Ne 85th St, Kansas City, MO 64156-1309 | 2020-06-22 |
| 1457975625 | Jazmine Ayana Spencer | Nurse Practitioner | 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 | 2020-06-03 |
| 1841813706 | Kristine Elizabeth Silcott | Nurse Practitioner | 5239 N Flora Ave, Kansas City, MO 64118-5720 | 2020-05-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on TAMIKA CLARK.
| 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.