JAN ELLEN CLARK (NPI# 1992950794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992950794 |
| Entity Type | Individual |
| Full Name | JAN ELLEN CLARK |
| Practice Address |
3441 E Colonial Dr Ste F-32 Orlando FL 32803-5113 |
| Mailing Address |
8001 S Orange Blossom Trl Fl Mall Suite 692 Orlando FL 32809-7654 |
| Practice Telephone | 4072065703 |
| Practice Fax Number | 4072065704 |
| Mailing Telephone | 4078597005 |
| Mailing Fax Number | 4078502635 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2009-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | AS4375 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497803803 | Jan Dean Clark | Podiatrist | 300 No Willson, 602f, Bozeman, MT 59715 | 2007-01-08 |
| Street Address |
3441 E COLONIAL DR STE F-32 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144881392 | Eric Hagen Reams | Hearing Instrument Specialist | 12010 Tift Cir, Orlando, FL 32826-3661 | 2019-06-27 |
| 1740796119 | Paul Jon Procko | Hearing Instrument Specialist | 7009 Dr Phillips Blvd Ste 140, Orlando, FL 32819-5122 | 2017-12-21 |
| 1144592999 | Michael James Smith | Hearing Instrument Specialist | 7512 Dr Phillips Blvd Ste 90, Orlando, FL 32819-5157 | 2012-02-08 |
| 1477879096 | Stephen L. Strobel | Hearing Instrument Specialist | 126 S Semoran Blvd, Orlando, FL 32807-3293 | 2010-04-08 |
| 1427372267 | Joshua David Daly | Hearing Instrument Specialist | 8001 S Orange Blossom Trl Ste 692, Orlando, FL 32809-9135 | 2010-03-23 |
| 1255518353 | Abimael Sanabia | Hearing Instrument Specialist | 710 W Colonial Dr Ste 101, Orlando, FL 32804-7356 | 2008-01-30 |
| 1043318348 | Jeff R Kurzon | Hearing Instrument Specialist | 6044 S Orange Ave, Orlando, FL 32809-4283 | 2006-09-20 |
| 1962445874 | Karen M Butler | Hearing Instrument Specialist | 8001 S Orange Blossom Trl, Fl Mall Suite 692, Orlando, FL 32809-7654 | 2006-06-14 |
| 1306885363 | Christopher A. Nault | Hearing Instrument Specialist | 1503 S. Orange Ave., Orlando, FL 32806-2116 | 2006-06-05 |
| 1144837113 | Alison Joyce Brooks | Hearing Instrument Specialist | 11905 E Colonial Dr, Orlando, FL 32826-4725 | 2020-09-24 |
| Find all providers in ORLANDO | ||||
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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.