MRS. AUDRIANA CLARK (NPI# 1821696089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821696089 |
| Entity Type | Individual |
| Full Name | MRS. AUDRIANA CLARK |
| Practice Address |
7333 Pine Forest Rd Lot 70 Pensacola FL 32526-3910 |
| Practice Telephone | 8503560364 |
| Mailing Telephone | 8503560364 |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
7333 PINE FOREST RD LOT 70 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32526-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274250 | Luzviminda Banares | Technician | 6303 Nashville Ave., Pensacola, FL 32526 | 2019-09-19 |
| 1972011708 | Kimberly Corner | Custodial Care Facility | 7138 Glendora St, Pensacola, FL 32526 | 2018-01-15 |
| 1174983175 | Empower Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 6866-a Pine Forest Rd, Pensacola, FL 32526 | 2016-03-03 |
| 1215324736 | Access Care Medical Group, LLC | Clinic/Center | 2123 Juno Cir, Pensacola, FL 32526 | 2015-04-22 |
| 1760733398 | Jacqueline Kathleen Clarke Jemmott | Counselor | 7203 Pine Forest Rd, Pensacola, FL 32526 | 2012-09-22 |
| 1326269986 | Linda Elena Longsworth | Pharmacist | 5975 Mobile Hwy., Pensacola, FL 32526 | 2007-05-01 |
| 1619019205 | Terence D Lunday | Dentist | 3101f W Michigan Ave, Pensacola, FL 32526 | 2007-02-12 |
| 1164571584 | James Glenn Hart Jr. | Dentist | 3101 F W Michigan Ave, Pensacola, FL 32526 | 2007-01-09 |
| 1033216528 | Holiday Cvs LLC | Pharmacy | 4500 Saufley Field Rd, Pensacola, FL 32526 | 2006-09-19 |
| 1578584942 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5975 Mobile Hwy, Pensacola, FL 32526 | 2006-07-21 |
| Find all providers in zip 32526 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708084 | Eufemia A. Johnson | Adult Companion | 7 N Coyle St, Pensacola, FL 32502-4704 | 2020-04-07 |
| 1881255255 | Melissa Christine Lowe | Adult Companion | 56 N 67th Ave, Pensacola, FL 32506-5712 | 2019-06-26 |
| 1013406644 | Princess Powe | Adult Companion | 7250 Bruner St, Pensacola, FL 32526-3100 | 2018-05-09 |
| 1346607041 | Tamika Camillia Pugh | Adult Companion | 3915 W Mallory St, Pensacola, FL 32505-6141 | 2016-01-26 |
| 1487087920 | Aaron Jamal Mannings | Adult Companion | 8007 Mark Ct, Pensacola, FL 32506-7866 | 2013-08-20 |
| 1194963538 | Kathleen Ann Stoll | Adult Companion | 2406 Emily St, Pensacola, FL 32504-8209 | 2009-01-22 |
| 1346684800 | Southern Home Care Services, Inc. | Adult Companion | 6706 N 9th Ave, Suite C-7, Pensacola, FL 32504-9303 | 2013-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192419 | Nyesha Isons | Adult Companion | 4835 48th St W Apt 513, Bradenton, FL 34210-2862 | 2020-10-24 |
| 1215536305 | Yolanda M Orr | Adult Companion | 1401 Marathon Key Dr Apt 103, Tampa, FL 33612-3650 | 2020-10-20 |
| 1871192187 | Yterria Mcgee | Adult Companion | 1202 N 29th St Apt 93, Fort Pierce, FL 34947-2230 | 2020-10-19 |
| 1316545544 | Hero Senior Care LLC | Adult Companion | 5231 Sw 152nd Ct, Miami, FL 33185-4110 | 2020-10-10 |
| 1154937969 | Lashonda Grice Velazquez | Adult Companion | 702 N 19th St, Palatka, FL 32177-3070 | 2020-09-17 |
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1447865639 | Yaimara Cruz | Adult Companion | 14400 Sw 79th Ct, Palmetto Bay, FL 33158-2019 | 2020-09-14 |
| 1275148082 | Latangela Shonta Vassel | Adult Companion | 1104 Bartow Rd Apt N163, Lakeland, FL 33801-5826 | 2020-09-09 |
| 1235743147 | Quanteria Mccaskill | Adult Companion | 116 Little Acres Dr, Palatka, FL 32177-4137 | 2020-09-08 |
| 1669086765 | Trina Sherrine Green | Adult Companion | 17304 Ne 114th Ave, Waldo, FL 32694-4220 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.