CAROLINE CLARK (NPI# 1861586182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861586182 |
| Entity Type | Individual |
| Full Name | CAROLINE CLARK |
| Credential | ARNP |
| Practice Address |
602 E Nob Hill Blvd Yakima WA 98901-3534 |
| Mailing Address |
Po Box 190 Toppenish WA 98948-0190 |
| Practice Telephone | 5092483334 |
| Practice Fax Number | 5094536144 |
| Mailing Telephone | 5098656175 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30006884 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9643461 | 05 | |
| WA | L & I | 0192516 | 01 |
| WA | REGENCE | 5262CL | 01 |
| WA | CRIMEVICTIMS | 8940611 | 01 |
| WA | CHPW | 9643461 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992205975 | Caroline Clark | Counselor | 1878 S Genoa St, Aurora, CO 80017-4620 | 2018-02-16 |
| 1356956452 | Caroline Clark | Clinical Nurse Specialist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2020-09-15 |
| 1619488350 | Caroline June Clark | Marriage & Family Therapist | 1489 W Warm Springs Rd, Henderson, NV 89014-7635 | 2017-10-20 |
| 1366979825 | Caroline Gray Clark | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2017-05-16 |
| 1083151047 | Caroline Clark | Physical Therapist | 80 Seven Hills Blvd, Suite 105, Dallas, GA 30132-0574 | 2017-01-27 |
| 1992189237 | Caroline Shaffner Clark | Physician Assistant | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2015-07-16 |
| 1336536317 | Caroline Clark | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2015-04-17 |
| 1972933810 | Caroline Carmela Clark | Psychiatry & Neurology | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2013-11-13 |
| 1962771568 | Caroline Lee Clark | Nurse Practitioner | 31 Heath St, Jamaica Plain, MA 02130-1650 | 2011-12-28 |
| 1033487376 | Caroline Kelly Clark | Social Worker | 121 London Rd, Asheville, NC 28803-2707 | 2011-12-01 |
| Street Address |
602 E NOB HILL BLVD |
| City | YAKIMA |
| State | WA |
| Zip Code | 98901-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265464523 | Joseph Keel | Family Medicine | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2006-07-07 |
| 1366054488 | Claire Tindula | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2020-08-19 |
| 1780295980 | Eliza Thompson | Family Medicine | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2020-08-11 |
| 1538781851 | Zachary Assink | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2020-05-08 |
| 1629616925 | Jennifer Cortes-klein | Registered Nurse | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2019-12-17 |
| 1306488424 | Karissa Marie Sanchez | Registered Nurse | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2019-10-09 |
| 1841845039 | Farah Jn Baptiste | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2019-08-05 |
| 1578123162 | Lauren Waski | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2019-06-17 |
| 1023673209 | Scott Barlow | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2019-05-03 |
| 1841762481 | Rachael Cleghorn | Physician Assistant | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162998 | China Nwachukwu | Pharmacist | Buter-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2020-07-30 |
| 1760959290 | Conswaylo Ann Fleek | Counselor | 120 S. 3rd Ave., Yakima, WA 98901 | 2018-11-02 |
| 1396212718 | Nancy Fraser | Counselor | 120 S. 3rd Street, Yakima, WA 98901 | 2018-10-24 |
| 1386129021 | John Scott | Student in an Organized Health Care Education/Training Program | Pacific Northwest University of Health Sciences, 111 University Parkway, Suite 202, Yakima, WA 98901 | 2018-09-28 |
| 1679051387 | Toni Christine Fogli | Counselor | 2280 Ste. Rte. 821, Yakima, WA 98901 | 2018-08-03 |
| 1043798267 | Amber Ann Couture | Counselor | 2280 Wa-821, Yakima, WA 98901 | 2018-07-31 |
| 1992201982 | Etienne Galbreath | Student in an Organized Health Care Education/Training Program | Butler-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2018-03-30 |
| 1619490737 | Christine M Armijo | Massage Therapist | 1001 University Parkway, Yakima, WA 98901 | 2017-07-20 |
| 1366970048 | Jose Antonio Mendoza | Dentist | 12 S 8t Hst, Yakima, WA 98901 | 2017-05-25 |
| 1982156501 | David Burkett | Counselor | 315 N. 2nd Street, Yakima, WA 98901 | 2016-10-31 |
| Find all providers in zip 98901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868713 | Tesa Linstad | Nurse Practitioner | 421 S 47th Ave, Yakima, WA 98908-3204 | 2019-02-27 |
| 1619418365 | Eze A Nwaubani | Nurse Practitioner | 811 W Yakima Ave Ste 104, Yakima, WA 98902-3088 | 2017-03-14 |
| 1417205063 | Amelia Ariel Rutter | Nurse Practitioner | 12 South 8th Street, Yakima, WA 98901 | 2012-08-29 |
| 1578858114 | Laura Marie Stewart | Nurse Practitioner | 3904 Terrace Heights Dr Ste D, Yakima, WA 98901-1568 | 2011-06-11 |
| 1609048560 | Stacie R Olson | Nurse Practitioner | 120 S. 72nd Ave, Suite 102, Healthnow Wv, Yakima, WA 98908-4200 | 2008-03-31 |
| 1700929304 | Jeana M Johnson | Nurse Practitioner | 1117 Tieton Drive, Yakima, WA 98902 | 2007-02-14 |
| 1598851784 | Erica Garza | Nurse Practitioner | 1112 Tieton Dr, Yakima, WA 98902-3836 | 2006-10-05 |
| 1912973181 | Anne M. Reed | Nurse Practitioner | 53 W Nob Hill Blvd, Yakima, WA 98902-4672 | 2006-02-27 |
| 1285604298 | Kimberlee Michelle Tuning | Nurse Practitioner | 311 S. 72nd Avenue, Pacific Crest Family Medicine, Yakima, WA 98908 | 2006-01-23 |
| 1033710207 | Helena Laubach | Nurse Practitioner | 12 S 8th St, Yakima, WA 98901-3020 | 2020-11-04 |
| Find all providers in YAKIMA | ||||
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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.