MRS. RITA J CLARK (NPI# 1992707343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992707343 |
| Entity Type | Individual |
| Full Name | MRS. RITA J CLARK |
| Credential | F.N.P. |
| Practice Address |
8401 Highway 111 Byrdstown TN 38549-6031 |
| Practice Telephone | 9318643187 |
| Practice Fax Number | 9318647102 |
| Mailing Telephone | 9318643187 |
| Mailing Fax Number | 9318647102 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2009-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN0000038329 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3901416 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427479229 | Rita R. Clark | Social Worker | 7375 Woodward, Suite 1010, Detroit, MI 48202 | 2013-12-20 |
| 1508959826 | Rita W. Clark | Psychiatry & Neurology | 335 E 17th St, Brooklyn, NY 11226-5201 | 2006-09-30 |
| 1932599669 | Rita Clark | Case Manager/Care Coordinator | 259 Bill France Blvd, Daytona Beach, FL 32114-1316 | 2015-02-03 |
| 1114228772 | Rita Cunneen Clark | Pharmacist | 3801 S Reserve St, Missoula, MT 59801-7322 | 2010-11-12 |
| 1396936878 | Rita Clark | Social Worker | 3349 N University Dr, Suite 4, Hollywood, FL 33024-9000 | 2007-08-08 |
| 1891914891 | Rita T Clark | Physical Therapy Assistant | 1834 W Wisconsin Ave, Milwaukee, WI 53233-2125 | 2007-04-25 |
| Street Address |
8401 HIGHWAY 111 |
| City | BYRDSTOWN |
| State | TN |
| Zip Code | 38549-6031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101284 | Matthew J King | Internal Medicine | 8401 Highway 111, Byrdstown, TN 38549 | 2005-06-01 |
| 1487026548 | Mary Leah Webb | Nurse Practitioner | 8401 Highway 111, Byrdstown, TN 38549 | 2015-10-28 |
| 1336379932 | Katherine Rosser Langenberg | Pediatrics | 8401 Highway 111, Byrdstown, TN 38549-6031 | 2009-07-17 |
| 1558534909 | William Andrew Todd | Internal Medicine | 8401 Highway 111, Byrdstown, TN 38549 | 2008-04-07 |
| 1679583801 | Byrdstown Medical Center, Pllc | Family Medicine | 8401 Highway 111, Byrdstown, TN 38549 | 2006-08-09 |
| 1205828837 | Jori Lynne Shaffer | Pediatrics | 8401 Highway 111, Byrdstown, TN 38549 | 2005-08-19 |
| 1730171414 | Larry Michael Mason | Family Medicine | 8401 Highway 111, Byrdstown, TN 38549 | 2005-08-18 |
| 1043212491 | William T Fryar Jr. | Nurse Practitioner | 8401 Highway 111, Byrdstown, TN 38549-6031 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831661206 | Eye Centers of Tennessee, LLC | Technician/Technologist | 8401 Tn-111, Byrdstown, TN 38549 | 2018-12-26 |
| 1255318465 | Laura B. Reagan | Physical Therapist | 8407 Highway One-eleven, Byrdstown, TN 38549 | 2005-12-29 |
| 1063728137 | Cynthia Karabeth Cahill | Family Medicine | 8401 Hwy 111, Byrdstown, TN 38549 | 2010-08-26 |
| 1922251123 | Thomas Alvis Thacker | Family Medicine | 8401 Hwy 111, Byrdstown, TN 38549-1006 | 2008-10-31 |
| 1568088177 | Danielle Goolsby | Nurse Practitioner | 8401 Hwy 111, Byrdstown, TN 38549-1006 | 2020-06-19 |
| 1811454077 | Benjamin Thomas Aaron | Nurse Practitioner | 8401 Hwy 111, Byrdstown, TN 38549-1006 | 2019-02-25 |
| 1275007502 | Jeffrey Chase Young | Physician Assistant | 8401 Hwy 111, Byrdstown, TN 38549-1006 | 2019-01-21 |
| 1295971836 | Tamara Lee Copeland | Physician Assistant | 8401 Hwy 111, Byrdstown, TN 38549-1006 | 2009-01-04 |
| 1730230558 | State of Tennessee | Public Health or Welfare | 1013 Woodlawn Dr, Byrdstown, TN 38549-2317 | 2007-01-16 |
| 1760813844 | Karen Logan | Licensed Practical Nurse | 1013 Woodlawn Dr, Byrdstown, TN 38549-2317 | 2013-11-27 |
| Find all providers in zip 38549 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088177 | Danielle Goolsby | Nurse Practitioner | 8401 Hwy 111, Byrdstown, TN 38549-1006 | 2020-06-19 |
| 1811454077 | Benjamin Thomas Aaron | Nurse Practitioner | 8401 Hwy 111, Byrdstown, TN 38549-1006 | 2019-02-25 |
| 1487026548 | Mary Leah Webb | Nurse Practitioner | 8401 Highway 111, Byrdstown, TN 38549 | 2015-10-28 |
| 1669857850 | Amanda Collier | Nurse Practitioner | 129 Hillcrest Dr, Byrdstown, TN 38549-2326 | 2015-07-29 |
| 1043212491 | William T Fryar Jr. | Nurse Practitioner | 8401 Highway 111, Byrdstown, TN 38549-6031 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.