TERESA LOUISE CLARK (NPI# 1750624904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750624904 |
| Entity Type | Individual |
| Full Name | TERESA LOUISE CLARK |
| Other Name | TERESA LOUISE CLARK |
| Credential | LVN |
| Practice Address |
2121 E 1st St 306 Long Beach CA 90803-2418 |
| Mailing Address |
2121 East First Street #306 306 Long Beach CA 93551 |
| Practice Telephone | 6616755177 |
| Mailing Telephone | 6616755177 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 258115 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSED VOCATIONAL NURSE | 164W | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144779778 | Teresa Clark | Contractor | 2304 W Gordon Ave Apt 218, Albany, GA 31707-4607 | 2016-09-23 |
| 1538373337 | Teresa Clark | Counselor | 721 Bath Rd, Wiscasset, ME 04578-4830 | 2007-05-10 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| 1538194261 | Teresa Elaine Clark | Internal Medicine | 2920 S Pharr Ct Nw, Atlanta, GA 30305-2104 | 2006-07-11 |
| 1407827561 | Teresa Jean Clark | Physical Therapist | 40900 Merchants Lane, Suite 202, Leonardtown, MD 20650 | 2006-01-27 |
| 1962931733 | Teresa Octavia Clark | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2017-06-06 |
| 1235585563 | Teresa A Clark | Nurse Practitioner | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2016-05-05 |
| 1912307109 | Teresa M Clark | Occupational Therapist | 301 Highway 65 S, Mora, MN 55051-1899 | 2014-08-26 |
| 1871853622 | Teresa Sha Clark | Social Worker | 700 Childrens Dr, Clinical Services and Care Coordination, Columbus, OH 43205-2664 | 2012-05-25 |
| 1962701482 | Teresa May Clark | Occupational Therapist | 815 Triplett St, Owensboro, KY 42303-3564 | 2011-03-23 |
| Street Address |
2121 E 1ST ST 306 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90803-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
| 1518426931 | Quashanika Marin | Behavior Technician | 55555 Anton Blvd, Costa Mesa, CA 90803 | 2019-03-15 |
| 1629569405 | Shiori Koga Lange | Social Worker | 6615 E Pacific Coast Hwy Ste 225, Long Beach, CA 90803 | 2018-05-29 |
| 1083117832 | Amos Hirsh | Specialist/Technologist | 3409 E 1st St., B, Long Beach, CA 90803 | 2018-03-16 |
| 1972029130 | Lilia Bolgov | Dietitian, Registered | 3528 E 2nd St, Apt 1, Long Beach, CA 90803 | 2017-08-19 |
| 1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
| 1629438247 | Victoria Nguyen Dental Corporation | Dentist | 6437 E. Pacific Coast Highway, Unit A-6, Long Beach, CA 90803 | 2016-02-24 |
| 1548633829 | Anne Yeakel | Chiropractor | 6234 E Pacific Coast Hwy, Unit C, Long Beach, CA 90803 | 2015-11-09 |
| 1376921023 | Lauren Katherine Mills | Registered Nurse | 6000 Bixby Village Drive #5, Long Beach, CA 90803 | 2015-05-14 |
| 1205173317 | Richard Stuart Egan | Otolaryngology | 310 Blue Cavern Point, Long Beach, CA 90803 | 2013-01-09 |
| Find all providers in zip 90803 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1619583804 | Cholena Humphrey | Licensed Vocational Nurse | 6350 Cerritos Ave, Long Beach, CA 90805-2414 | 2020-09-22 |
| 1538717681 | Lashanda Brown | Licensed Vocational Nurse | 1775 Chestnut Ave # 64, Long Beach, CA 90813-1674 | 2019-09-02 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1760905418 | Gwendolyn June Hawkins | Licensed Vocational Nurse | 6871 E Kallin Way, Long Beach, CA 90815-5007 | 2017-07-24 |
| 1316469018 | Susana Ivette Rostro | Licensed Vocational Nurse | 1261 E 3rd St, Long Beach, CA 90802-3602 | 2017-07-13 |
| 1558714105 | Stashanae Reegan | Licensed Vocational Nurse | 5700 Ackerfield Ave Apt 210, Long Beach, CA 90805-4975 | 2016-07-19 |
| 1982056883 | Diana Morrow | Licensed Vocational Nurse | 1021 E Carson St Apt 4, Long Beach, CA 90807-3632 | 2016-07-05 |
| 1720451057 | Stacey Chhem | Licensed Vocational Nurse | 1934 Chestnut Ave, Apt 104, Long Beach, CA 90806-5380 | 2015-11-09 |
| 1417332842 | Marilou Villanueva | Licensed Vocational Nurse | 1385 W 33rd St, Long Beach, CA 90810-2544 | 2015-07-27 |
| 1013396340 | Coulsander Johnson | Licensed Vocational Nurse | 2090 Myrtle Ave, Long Beach, CA 90806-4932 | 2015-05-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90803 |
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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.