Elizabeth Clark
Nurse Practitioner

Address: 1310 14th Ave Se, Decatur, AL 35601-4347
Phone: 2563535151

Elizabeth Clark (NPI# 1083094627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1083094627
Entity Type Individual
Full Name Elizabeth Clark
Credential CRNP
Gender Female
Practice Address 1310 14th Ave Se
Decatur
AL 35601-4347
Practice Telephone 2563535151
Practice Fax Number 2563519915
Mailing Address 1310 14th Ave Se
Decatur
AL 35601-4347
Mailing Telephone 2563535151
Mailing Fax Number 2563519915
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2015-06-08
Last Update Date 2015-06-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers 1-136600 AL

Other Providers ELIZABETH CLARK

NPI Name Taxonomy Address Enumeration
1083192959 Elizabeth Grace Clark Physical Therapist 1010 Monarch St Ste 150, Lexington, KY 40513-1892 2018-08-02
1548755176 Elizabeth F Clark Psychologist 16 Gleasondale Rd, Stow, MA 01775-1465 2018-06-26
1699217927 Elizabeth Clark Counselor 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 2016-11-17
1346604584 Elizabeth Ann Clark Nurse Practitioner 32 Allen Ct, Staten Island, NY 10310-2703 2016-04-13
1356706543 Elizabeth Clark Public Health or Welfare 295 Broadmeadow Cv, Roswell, GA 30075-2950 2015-12-15
1477946770 Elizabeth Clark Counselor 1250 Route 171, Woodstock, CT 06281-2127 2015-03-10
1649674847 Elizabeth Clark Nurse Practitioner 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 2014-10-16
1851708325 Elizabeth Clark Counselor 52 Oxford St, Somerville, MA 02143-1608 2014-07-16
1932527579 Elizabeth Anne Clark Obstetrics & Gynecology Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 2014-04-01
1700187564 Elizabeth B Clark Physical Therapist 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 2010-11-10

Physician Overview

NPI 1083094627
PAC ID by PECOS 3375856479
Professional Enrollment ID I20150718000061
Full Name Elizabeth Clark
Organization Legal Name CANCER CARE CENTER PC
Phone Number 2563535151
Gender F
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 8224212022
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Office Location

Street Address 1310 14TH AVE SE
City DECATUR
State AL
Zip Code 35601-4347

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023025434 Naveen Thomas Lobo Internal Medicine 1310 14th Ave Se, Decatur, AL 35601-4347 2006-08-01
1598145138 Rachel Kelly Nurse Practitioner 1310 14th Ave Se, Decatur, AL 35601-4347 2015-06-08
1831588748 Elizabeth C Elmore Nurse Practitioner 1310 14th Ave Se, Decatur, AL 35601-4347 2015-01-15
1861797920 Cancer Care Center PC Internal Medicine 1310 14th Ave Se, Decatur, AL 35601-4347 2011-01-21
1245404847 Julie M Sexton Nurse Practitioner 1310 14th Ave Se, Decatur, AL 35601-4347 2008-04-15
1154501955 Lise Ann Griffin Registered Nurse 1310 14th Ave Se, Decatur, AL 35601-4347 2007-11-08
1003012055 Michael A. Henngian, M.d., P.c Internal Medicine 1310 14th Ave Se, Decatur, AL 35601-4347 2007-06-26
1881712537 Cheryl D Watrous Dietitian, Registered 1310 14th Ave Se, Decatur, AL 35601-4347 2007-03-27
1518015809 Leigh A. Rutledge Dietitian, Registered 1310 14th Ave Se, Decatur, AL 35601-4347 2007-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376000679 Monica Dawn Ross Counselor 106 Lee St. Ne, Suite C, Decatur, AL 35601 2019-02-23
1497208250 Beronica Goodwin Home Health Aide 1102b Suite #2 4th Ave Se, Decatur, AL 35601 2016-07-28
1770957177 Xochitl Dupre Obstetrics & Gynecology 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 2015-11-23
1104224708 River City Psychiatry, Inc. Community/Behavioral Health 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 2014-12-12
1760882690 Derrick Aaron Randolph Registered Nurse 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 2014-08-28
1427465434 Martha Read Family Medicine 2208 Danville Rd Sw Ste A, Decatur, AL 35601 2014-07-22
1205242948 Pure Heart Home Care of Alabama, LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 107 B 14th Street Sw, Decatur, AL 35601 2014-07-02
1366794711 Complete Dental Decatur LLC Dentist 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 2012-10-10
1245505536 Urology Associates of North Alabama Urology 1874 Beltine Road, Sw, Suite 106, Decatur, AL 35601 2012-03-20
1265741557 A Caring Place Home Health 432 Moulton Street, E, Decatur, AL 35601 2010-10-04
Find all providers in zip 35601

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912463456 Kimberly S Williams Nurse Practitioner 4565 Riverwood Cir, Decatur, GA 30035-2935 2019-02-20
1164907242 Megan Skelley Nurse Practitioner 487 Winn Way Ste 202, Decatur, GA 30030-1728 2018-09-25
1508359969 Rebecca A Dunakey Nurse Practitioner 575 W Hay St, Decatur, IL 62526-4164 2018-06-11
1598278558 Vera Mahou Nurse Practitioner 4150 Snapfinger Woods Dr Ste 120, Decatur, GA 30035-3417 2017-11-13
1346753738 Alexis Renee Graven Nurse Practitioner 2300 N Edward St Ste 2400, Decatur, IL 62526-4163 2017-11-08
1508240409 Zachary Pitts Nurse Practitioner 2606 Woodridge Dr, Decatur, GA 30033-4835 2015-07-10
1891063095 Alexis E. Daugherty Nurse Practitioner 603 Church St, Decatur, GA 30030-2517 2011-12-02
1235392689 David Gerardo Barraza Nurse Practitioner 2422 Donville Road, Suite E, Decatur, AL 35603 2008-07-07
1083801278 Southern Rural Health Care Consortium Nurse Practitioner 1852 Beltline Road, Suite A, Decatur, AL 35601-0000 2007-10-02
1700073996 Southern Rural Health Care Consortium Nurse Practitioner 2112 6th Avenue Se, Decatur, AL 35601-0000 2007-10-02
Find all providers in DECATUR

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City DECATUR
Zip Code 35601

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Dataset Information

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.

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