KATHERINE CLARK (NPI# 1841557428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841557428 |
| Entity Type | Individual |
| Full Name | KATHERINE CLARK |
| Credential | CPNP |
| Practice Address |
650 Clark Way Palo Alto CA 94304 |
| Practice Telephone | 6506883644 |
| Practice Fax Number | 6506883669 |
| Mailing Telephone | 6506883644 |
| Mailing Fax Number | 6506883669 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2013-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
23185 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5005585 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5005585 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345961 | Katherine Elizabeth Clark | Licensed Practical Nurse | 764 Patriot Pkwy Apt 203, Rock Hill, SC 29730-2750 | 2020-01-08 |
| 1770146243 | Katherine T Clark | Pharmacist | 60101 Bodnar Blvd Ste 100, Mishawaka, IN 46544-9328 | 2019-04-19 |
| 1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
| 1104364231 | Katherine Mary Clark | Nurse Anesthetist, Certified Registered | 9205 122nd Ct Ne, Apt A107, Kirkland, WA 98033-5882 | 2017-02-09 |
| 1528207131 | Katherine Clark | Physical Therapist | 1630 Campus Park Dr Ste D, Monroe, NC 28112-5270 | 2009-02-05 |
| 1275791949 | Katherine Diane Clark | Counselor | 400 W Midland Ave, Suite 202, Woodland Park, CO 80863-3144 | 2008-05-29 |
| 1194749978 | Katherine Elizabeth Clark | Dentist | 130 Ben Casey Dr, Suite 105, Fort Mill, SC 29708-6567 | 2006-07-26 |
| 1144289943 | Katherine W Clark | Family Medicine | 1 Paradies Ln, New Paltz, NY 12561-4031 | 2006-03-21 |
| 1548229404 | Katherine Ann Clark | Licensed Practical Nurse | 89 Laundon St, Elyria, OH 44035-6117 | 2006-03-20 |
| 1851918783 | Katherine Clark | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-06-26 |
| Street Address |
650 CLARK WAY |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104939503 | Glen R. Elliott | Psychiatry & Neurology | 650 Clark Way, Palo Alto, CA 94304-2300 | 2006-08-17 |
| 1124631197 | Sarah Newman | Marriage & Family Therapist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-08-28 |
| 1992318679 | Nicole Wdowiak | Speech-Language Pathologist | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-08-24 |
| 1003436023 | Holly Weldon | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-20 |
| 1548889629 | Cara Marie Diclemente | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-09 |
| 1568091791 | Lauren Adelyn Cohen | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-04-08 |
| 1053942862 | Eric Loughhead | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2020-01-30 |
| 1558902502 | Moran Shoham | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-10-01 |
| 1235797705 | Dariah Simone Brown | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-05-30 |
| 1174187934 | Virginia Diane Peisch | Student in an Organized Health Care Education/Training Program | 650 Clark Way, Palo Alto, CA 94304-2300 | 2019-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558870931 | Wendy Lynn Webb | Nurse Practitioner | 725 Welch Rd Uppr, Palo Alto, CA 94304-1601 | 2017-09-28 |
| 1134397508 | Chloe Luu Journel | Nurse Practitioner | 725 Welch Rd Ste 3554, Palo Alto, CA 94304-1601 | 2008-02-19 |
| 1811022783 | Kathleen Cox | Nurse Practitioner | 725 Welch Rd # 116, Palo Alto, CA 94304-1601 | 2007-02-22 |
| 1942366141 | Ashley Lynn Kinney | Nurse Practitioner | 730 Welch Rd Fl 2, Palo Alto, CA 94304 | 2006-12-29 |
| 1184656449 | Kaylie Kim Chi Nguyen | Nurse Practitioner | 750 Welch Rd Ste 116, Pediatric Gastroenterology, Palo Alto, CA 94304-1508 | 2006-07-07 |
| 1558352054 | Debra G. Hanisch | Nurse Practitioner | 750 Welch Rd, #305, Palo Alto, CA 94304-1507 | 2005-11-02 |
| 1558978643 | Mayra Flores | Nurse Practitioner | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2020-09-23 |
| 1285281329 | Jenna M Oslan | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2019-08-22 |
| 1912553207 | Amber Goglanian | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2019-08-13 |
| 1407336241 | Corinna Romantic | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2018-08-21 |
| Find all providers in PALO ALTO | ||||
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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.