ANGELA CLARK (NPI# 1972929701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972929701 |
| Entity Type | Individual |
| Full Name | ANGELA CLARK |
| Other Name | ANGELA SCOTT |
| Credential | CRNA |
| Practice Address |
3555 Knickerbocker Rd San Angelo TX 76904-7610 |
| Practice Telephone | 3259499555 |
| Mailing Telephone | 3259499555 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP130678 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 360901801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267930 | Angela C Clark | Registered Nurse | 18548 S Kanaga Loop, Eagle River, AK 99577-8675 | 2020-02-20 |
| 1164072492 | Angela G Clark | Clinic/Center | 4703 Horton Rd, Plant City, FL 33567-3625 | 2019-09-18 |
| 1558720284 | Angela Clark | Counselor | 1401 Irene Ln, Fort Gibson, OK 74434-8339 | 2016-02-23 |
| 1316339294 | Angela Nicole Clark | Occupational Therapist | 210 Oriole Ln, Telford, TN 37690-2370 | 2015-03-02 |
| 1457680415 | Angela L Clark | Counselor | 3105 E Skelly Dr Ste 310, Tulsa, OK 74105-6371 | 2009-12-21 |
| 1811123060 | Angela C Clark | Speech-Language Pathologist | 1039 Ne Polk Ave, Arcadia, FL 34266-5055 | 2009-06-02 |
| 1235195835 | Angela M Clark | Physician Assistant | 2009 5th St, Monroe, WI 53566-1546 | 2006-04-22 |
| 1144836230 | Angela Kate Clark | Counselor | 324 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2020-09-23 |
| 1275008914 | Angela Marie Clark | Nurse Practitioner | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2018-10-09 |
| 1669968921 | Angela Clark | Registered Nurse | 500 Hancock St, Saginaw, MI 48602-4224 | 2018-07-10 |
| Street Address |
3555 KNICKERBOCKER RD |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-7610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427039494 | Ross A Alexander | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2005-11-08 |
| 1073990313 | Sara Elizabeth Halfmann | Pediatrics | 3555 Knickerbocker Rd, San Angelo, TX 76904 | 2015-05-06 |
| 1942620554 | West Texas Dermatology and Skin Cancer Center Pllc | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2014-04-22 |
| 1831473891 | Pamela Darby | Nurse Practitioner | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2011-10-07 |
| 1750531539 | Jennifer Marburger | Nurse Practitioner | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2008-09-29 |
| 1386890069 | A Narasimha Rao | Psychiatry & Neurology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2008-08-13 |
| 1881875698 | Jerrie D Smithwick | Nurse Practitioner | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2007-11-20 |
| 1639373210 | Mark Adam Ramirez | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2007-06-14 |
| 1679635247 | Scott Bradley Brown | Dentist | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-12-13 |
| 1962442350 | Glenn Michael Ihde II | Surgery | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902103294 | Tmb Stevens, LLC | Nurse Anesthetist, Certified Registered | 5213 N Bentwood Dr, San Angelo, TX 76904-8056 | 2011-02-22 |
| 1568547024 | Marvin Hill | Nurse Anesthetist, Certified Registered | 120 E. Harris Ave, San Angelo, TX 76903-5904 | 2006-10-25 |
| 1386012037 | Crystal Sustaita | Nurse Anesthetist, Certified Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2015-09-11 |
| 1659769198 | Joe Riley Mcfarland | Nurse Anesthetist, Certified Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2015-01-07 |
| 1558632265 | Kristine Scott | Nurse Anesthetist, Certified Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2012-01-26 |
| 1750544367 | West Texas Medical Associates | Nurse Anesthetist, Certified Registered | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-03 |
| 1043334188 | Michael R. Rochin Crna Ms | Nurse Anesthetist, Certified Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2007-03-16 |
| 1336238948 | Patricia T Manning | Nurse Anesthetist, Certified Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-10-12 |
| 1215041330 | Michael Rochin | Nurse Anesthetist, Certified Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-08-18 |
| 1932152204 | Shonna Y. Parks | Nurse Anesthetist, Certified Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-05-18 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.