SUSAN D. CLARK (NPI# 1760949846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760949846 |
| Entity Type | Individual |
| Full Name | SUSAN D. CLARK |
| Credential | RN |
| Practice Address |
1700 Cargo Ct Louisville KY 40299-1938 |
| Practice Telephone | 5027496764 |
| Mailing Telephone | 5027496764 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
1034142 | KY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161950 | Susan Marie Clark | Nurse Practitioner | 674 Coral Way, Winter Springs, FL 32708-3127 | 2020-07-09 |
| 1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
| 1790178556 | Susan March Clark | Peer Specialist | 3277 E 2nd St, Tulsa, OK 74104-2134 | 2015-03-17 |
| 1841537990 | Susan Noble Clark | Developmental Therapist | 1730 Radcliffe Rd, Montgomery, AL 36106-2620 | 2013-01-09 |
| 1881963411 | Susan Clark | Occupational Therapy Assistant | 38 Wheeler Ave, Warwick, NY 10990-1341 | 2011-12-28 |
| 1437302684 | Susan Maslin Clark | Chiropractor | 20416 Bowfonds St, Ashburn, VA 20147-7457 | 2008-11-01 |
| 1871780940 | Susan Marie Clark | Counselor | 112 S Water St Ste B, Kent, OH 44240-3689 | 2007-10-02 |
| 1750403861 | Susan M Clark | Psychologist | 1022 Cherokee Ave, Royal Oak, MI 48067 | 2007-04-06 |
| 1598892085 | Susan L Clark | Psychiatry & Neurology | 9515 60th Ave W, Mukilteo, WA 98275 | 2007-02-28 |
| 1609968692 | Susan M Clark | Pediatrics | 1318 S Main Road, Vineland, NJ 08360 | 2006-09-28 |
| Street Address |
1700 CARGO CT |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40299-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518215169 | Iris Hausley | Case Manager/Care Coordinator | 1700 Cargo Ct, Louisville, KY 40299-1938 | 2012-08-29 |
| 1619578309 | Kiara Thompson | Counselor | 1700 Cargo Ct, Louisville, KY 40299-1938 | 2020-11-08 |
| 1801495510 | Craig Lewis Cole | Counselor | 1700 Cargo Ct, Louisville, KY 40299-1938 | 2020-10-23 |
| 1386243608 | Elias Jabreel Miller | Counselor | 1700 Cargo Ct, Louisville, KY 40299-1938 | 2020-10-19 |
| 1346849767 | Kristle Adams | Counselor | 1700 Cargo Ct, Louisville, KY 40299-1938 | 2020-10-19 |
| 1801402581 | Rachel Fletcher | Registered Nurse | 1700 Cargo Ct, Louisville, KY 40299-1938 | 2020-09-18 |
| 1346879004 | Lindsay Edelen | Counselor | 1700 Cargo Ct, Louisville, KY 40299-1938 | 2020-04-05 |
| 1962037762 | Christina Marie Henderson | Registered Nurse | 1700 Cargo Ct, Louisville, KY 40299-1938 | 2020-03-12 |
| 1659905578 | Kristin Shears | Registered Nurse | 1700 Cargo Ct, Louisville, KY 40299-1938 | 2020-02-29 |
| 1306481932 | Jean Nelson Gaddie | Registered Nurse | 1700 Cargo Ct, Louisville, KY 40299-1938 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
| 1780192302 | Chris Mcclain | Pharmacist | 1901 Campus Place, Suite 100, Louisville, KY 40299 | 2018-01-17 |
| 1669984209 | Bluegrass Allergy Asthma and Immunology Psc | Internal Medicine | 11900 Plantside Dr Ste 9, Louisville, KY 40299 | 2017-11-03 |
| 1588182109 | Hollie Marie Wheeler | Speech-Language Pathologist | Paragon Rehabilitation 2701 Chesnut Station Court, Louisville, KY 40299 | 2017-09-04 |
| 1790206464 | Farrah Hill Rodgers | Occupational Therapy Assistant | 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 | 2017-07-03 |
| 1871972620 | Jag Medical LLC | Pharmacy | 9813 Merioneth Dr, Louisville, KY 40299 | 2015-05-27 |
| 1023496205 | Scotty Ray Newcomer | Family Medicine | 8511 Watterson Trl, Louisville, KY 40299 | 2015-05-08 |
| 1386048262 | Daniel Gerhard Eschenbach | Dentist | 12613 Taylorsville Rd., Suite #17, Louisville, KY 40299 | 2014-10-21 |
| 1740616192 | Alyse C Martin | Nurse Practitioner | 9569 Taylorsville Road Suite 109, Louisville, KY 40299 | 2013-09-17 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in zip 40299 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972967560 | Karen Smith | Registered Nurse | 5612 Sterling Dr, Louisville, KY 40216-1348 | 2016-04-08 |
| 1497144265 | Emmanuel Ridge of Louisville Ms Inc | Registered Nurse | 803 W Main St, Louisville, MS 39339-2539 | 2015-01-16 |
| 1649523473 | Tonya Ann Carroll | Registered Nurse | 2020 Newburg Rd, Louisville, KY 40205-1803 | 2012-10-17 |
| 1912255464 | Nanci Green | Registered Nurse | 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 | 2012-08-15 |
| 1124159991 | Theresa Watson | Registered Nurse | 914 E Broadway, Louisville, KY 40204-1037 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205386026 | Kyongmi Andre | Registered Nurse | 518 N 4th St, Flatwoods, KY 41139-1086 | 2016-10-04 |
| 1801995121 | Kathleen Flesch | Registered Nurse | 96 Burdsall Ave, Ft Mitchell, KY 41017-2824 | 2006-09-22 |
| 1447624523 | Courtney L Taylor | Registered Nurse | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2015-11-30 |
| 1154728251 | Stephanie Ann Short | Registered Nurse | 1203 American Greeting Card Rd, Corbin, KY 40701 | 2014-12-04 |
| 1821429283 | Lana M Lowe | Registered Nurse | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2013-12-10 |
| 1063848463 | June Shannon Nease | Registered Nurse | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2013-09-18 |
| 1134363658 | Sallie Fitzpatrick | Registered Nurse | 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5318 | 2009-04-28 |
| 1407092158 | Rudella Kay Kelley | Registered Nurse | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2008-12-31 |
| 1316918030 | Denise M Lyons | Registered Nurse | 270 Walton Way, Hopkinsville, KY 42240-6808 | 2006-01-30 |
| City | LOUISVILLE |
| Zip Code | 40299 |
Please comment or provide details below to improve the information on SUSAN D. 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.