TATIANA CLARK (NPI# 1891159752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891159752 |
Entity Type | Individual |
Full Name | TATIANA CLARK |
Credential | A.R.N.P. |
Practice Address |
7005 Cortez Rd W Bradenton FL 34210-2509 |
Practice Telephone | 9414654800 |
Practice Fax Number | 8556373923 |
Mailing Telephone | 9414654800 |
Mailing Fax Number | 8556373923 |
Enumeration Date | 2016-04-07 |
Last Update Date | 2016-04-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9253515 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7005 CORTEZ RD W |
City | BRADENTON |
State | FL |
Zip Code | 34210-2509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124025481 | Camilo L. Cabrera | Internal Medicine | 7005 Cortez Rd W, Bradenton, FL 34210-2509 | 2005-07-01 |
1508126624 | Zhora Zhoravich Oganisyan | Psychiatry & Neurology | 7005 Cortez Rd W, Bradenton, FL 34210-2509 | 2012-05-22 |
1154566735 | Bja Incorporated | Clinic/Center | 7005 Cortez Rd W, 101, Bradenton, FL 34210-2509 | 2008-12-10 |
1053578377 | Diane Lynne Raccio | Nurse Practitioner | 7005 Cortez Rd W, 1st Floor, Bradenton, FL 34210-2509 | 2008-05-22 |
1649455601 | Azim Akbarali Lalani | Family Medicine | 7005 Cortez Rd W, Bradenton, FL 34210-2509 | 2008-01-08 |
1063612927 | Daniel Amoah | Family Medicine | 7005 Cortez Rd W, Bradenton, FL 34210-2509 | 2007-07-19 |
1013111624 | Michael Seijoon Park | Neurological Surgery | 7005 Cortez Rd W, Bradenton, FL 34210-2509 | 2007-06-14 |
1184733750 | Theresa M Hirvimaki | Nurse Practitioner | 7005 Cortez Rd W, Bradenton, FL 34210-2509 | 2006-08-29 |
1467480376 | Jeffrey L Ortstadt | Psychiatry & Neurology | 7005 Cortez Rd W, Bradenton, FL 34210-2509 | 2006-06-29 |
1609861392 | Kevin Louis Boyer | Neurological Surgery | 7005 Cortez Rd W, Bradenton, FL 34210 | 2005-09-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407337512 | Global Therapy and Wellness, Pllc | Social Worker | 6112 45th Street West, Bradenton, FL 34210 | 2018-08-27 |
1962912881 | Armer Alcorn | Specialist/Technologist | 5650 Bollettieri Blvd, Bradenton, FL 34210 | 2017-10-05 |
1053779611 | Therapeutic Lifestyle Solutions LLC | Occupational Therapist | 4702 Cortez Road, W Bradenton, FL 34210 | 2016-02-10 |
1831568344 | Alignment Healthcare Florida LLC | Clinic/Center | 3501 Cortez Rd. West, Jacksonville, FL 34210 | 2015-09-15 |
1659758910 | Vinai Artyamsoal | Obstetrics & Gynecology | 3633 Cortez Road West, Unit B-3, Bradenton, FL 34210 | 2015-05-06 |
1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
1881899938 | Genevieve Duremdez Flexicare Physical Therapy | Physical Therapist | 3701 54th Dr. W. Bldg. M-101, Bradenton, FL 34210 | 2007-06-19 |
1194843623 | Steve C Hannan | Pharmacist | 4400 75th St. W., Bradenton, FL 34210 | 2007-03-26 |
1881761153 | Ruth Sidonie Cohn Eisner | Psychiatry & Neurology | 3639 Cortez Rd W Suite 108, Bradenton, FL 34210 | 2006-11-29 |
Find all providers in zip 34210 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
1477076800 | Margaret Vaccaro | Nurse Practitioner | 3501 Cortez Rd W, Bradenton, FL 34210-3196 | 2017-07-18 |
1659768950 | Gulfside Behavioral Care Np Inc | Nurse Practitioner | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2015-04-24 |
1396931846 | Sandra Lynn Yost | Nurse Practitioner | 206 2nd St E, Bradenton, FL 34208-1042 | 2007-09-19 |
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1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
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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.