MORGAN CLARKE (NPI# 1821482761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821482761 |
Entity Type | Individual |
Full Name | MORGAN CLARKE |
Practice Address |
2703 Crossbranch Ct Fort Wayne IN 46825-7141 |
Practice Telephone | 2604458363 |
Enumeration Date | 2015-03-27 |
Last Update Date | 2015-03-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
2703 CROSSBRANCH CT |
City | FORT WAYNE |
State | IN |
Zip Code | 46825-7141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
Find all providers in zip 46825 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962016931 | Grant Sylvester Olsen | Student in an Organized Health Care Education/Training Program | 3910 Newport Ave Apt 13, Fort Wayne, IN 46805-1383 | 2020-09-07 |
1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
1790394146 | Katie Patterson | Student in an Organized Health Care Education/Training Program | 2907 Westbrook Dr Apt 101, Fort Wayne, IN 46805-2055 | 2020-07-30 |
1891304689 | Alexi Nicole Seely | Student in an Organized Health Care Education/Training Program | 2423 Kenwood Ave, Fort Wayne, IN 46805-2755 | 2020-07-28 |
1659980365 | Laura Kraft | Student in an Organized Health Care Education/Training Program | 3822 Newport Ave Apt 2, Fort Wayne, IN 46805-1376 | 2020-07-28 |
1073145983 | Caelan Williams | Student in an Organized Health Care Education/Training Program | 6500 Saint Joe Rd Apt 116, Fort Wayne, IN 46835-1935 | 2020-02-08 |
1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
1700440641 | Mary Danny Dickow | Student in an Organized Health Care Education/Training Program | 1804 Cymbeline Ct, Fort Wayne, IN 46818-9265 | 2019-04-25 |
1477086189 | Yogesh Jonna | Student in an Organized Health Care Education/Training Program | 3929 Heron Preserve Trl, Fort Wayne, IN 46814-7578 | 2017-04-10 |
1922547702 | Zin Than | Student in an Organized Health Care Education/Training Program | 833 Dantes Voyage Dr, Fort Wayne, IN 46845-2072 | 2017-02-14 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46825 |
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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.