NANCY L CLARK (NPI# 1831230911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831230911 |
| Entity Type | Individual |
| Full Name | NANCY L CLARK |
| Other Name | NANCY L HEAVERLO |
| Credential | PA-C |
| Practice Address |
13033 Bellevue Redmond Rd #110 Bellevue WA 98005-2633 |
| Practice Telephone | 4254686500 |
| Practice Fax Number | 4254686501 |
| Mailing Telephone | 4254686500 |
| Mailing Fax Number | 4254686501 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10003692 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 171527 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722907 | Nancy Clark | Occupational Therapist | 1147 S Bay Dr, Tawas City, MI 48763-9318 | 2020-05-25 |
| 1811440894 | Nancy Elizabeth Clark | Counselor | 29157 Stonegate Lane, Highland, CA 92346 | 2016-07-26 |
| 1346622479 | Nancy Clark | Lactation Consultant, Non-RN | 47 Kimball Hill Rd, Mail Slot 41, West Topsham, VT 05086 | 2015-06-25 |
| 1184973372 | Nancy Jean Clark | Lactation Consultant, Non-RN | 7402 Flemingwood Ln, Springfield, VA 22153-1701 | 2012-09-03 |
| 1225334964 | Nancy Ellen Clark | Occupational Therapist | 3080 Hecla St, Butte, MT 59701-6320 | 2011-01-27 |
| 1861517716 | Nancy Deborah Clark | Acupuncturist | 2134 Ne 123rd St, North Miami, FL 33181-2902 | 2007-03-20 |
| 1952451445 | Nancy A Clark | Massage Therapist | 609 State Ave Ste C, Marysville, WA 98270-4562 | 2007-01-10 |
| 1265595094 | Nancy L. Clark | Registered Nurse | 302 Hinsdale Rd, Camillus, NY 13031-1636 | 2006-12-19 |
| 1124116116 | Nancy Clark | Dietitian, Registered | 1300 Boylston St, Health Works Fitness Center, Chestnut Hill, MA 02467 | 2006-10-11 |
| 1730199688 | Nancy Claire Clark | Psychiatry & Neurology | 5918 Greentree Rd, Bethesda, MD 20817-3460 | 2006-08-09 |
| Street Address |
13033 BELLEVUE REDMOND RD #110 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114102944 | Cascade Heart Clinic, Pllc | Internal Medicine | 13033 Bellevue Redmond Rd, Suite 230, Bellevue, WA 98005-2633 | 2007-12-28 |
| 1225256845 | Peter R Kures | Internal Medicine | 13033 Bellevue Redmond Rd, Suite 230, Bellevue, WA 98005-2633 | 2007-04-20 |
| 1194842542 | Ilse Marie Reichert | Nurse Practitioner | 13033 Bellevue Redmond Rd, Suite 206, Bellevue, WA 98005-2633 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487066130 | Neon Corpuz | Physician Assistant | 4932 163rd Pl Se, Bellevue, WA 98006-4733 | 2014-05-29 |
| 1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
| 1407124407 | Natalya Vlaskin | Physician Assistant | 3900 Factoria Blvd Se Ste A, Bellevue, WA 98006-1234 | 2011-12-05 |
| 1649326273 | Gary N Wellman | Physician Assistant | 301 116th Ave Se Ste 105, Suite #250, Bellevue, WA 98004-6482 | 2007-01-26 |
| 1164503314 | Bryna Dunaway Mccollum | Physician Assistant | 13231 Se 36th St Ste 110, Bellevue, WA 98006-7321 | 2006-10-17 |
| 1689201113 | Brenna Nicole Carlson | Physician Assistant | 2510 Bellevue Medical Center Dr Ste 145a, Bellevue, NE 68123-1556 | 2020-03-25 |
| 1356871404 | Nicole B Bazar | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2017-06-12 |
| 1861840332 | Miguel A Escalera | Physician Assistant | 1427 116th Ave Ne, Bellevue, WA 98004-3807 | 2016-05-25 |
| 1538516927 | Rachel I Drayer | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004 | 2016-05-16 |
| 1962838516 | Jana Soltero | Physician Assistant | 10400 Ne 4th St Ste 2250, Bellevue, WA 98004-5186 | 2013-09-15 |
| Find all providers in BELLEVUE | ||||
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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.