Nedra Rose Clark is a Registered Nurse practicing in Cadillac, Michigan. The National Provider Identifier (NPI) is #1669815411, which was assigned on April 11, 2013, and the registration record was last updated on March 29, 2026. The practitioner's main practice location is at 527 Cobbs St, Northern Lakes Community Mental Health, Cadillac, MI 49601; the contact telephone number is 2317753463, and the fax number is 2317751692. The primary taxonomy of Nedra Rose Clark is Registered Nurse (163W00000X). Nedra Rose Clark is licensed to practice in the state of Michigan (#4704224483).
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
| NPI | 1669815411 |
| Entity Type | Individual |
| Provider Name | NEDRA ROSE CLARK |
| Gender | Female |
| Credential | RN |
| Practice Address |
527 Cobbs St Northern Lakes Community Mental Health Cadillac MI 49601 |
| Practice Telephone | 2317753463 |
| Practice Fax Number | 2317751692 |
| Mailing Address |
527 Cobbs St Northern Lakes Community Mental Health Cadillac MI 49601 |
| Mailing Telephone | 2317753463 |
| Mailing Fax Number | 2317751692 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2026-03-29 |
| Is Sole Proprietor | Y |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704224483 | MI |
| Code | 163W00000X |
| Taxonomy | Registered Nurse |
| Classification | Registered Nurse |
| Grouping | Nursing Service Providers |
| Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Xin Shen | 850 Knox Crest Dr, Lebanon, TN 37090-8113 | Registered Nurse | 2026-05-09 |
| Opal Trivedi | 118 Oxford Ct, Goodlettsville, TN 37072-2145 | Registered Nurse | 2026-05-09 |
| Maria Elana Fortier | 500 E Veterans St, Tomah, WI 54660-3105 | Registered Nurse | 2026-05-09 |
| Shannon Marie Brown | 2101 Elm St N, Fargo, ND 58102-2417 | Registered Nurse | 2026-05-09 |
| Kendal Suzanne Carroll | 6410 W Gulf To Lake Hwy, Crystal River, FL 34429-7622 | Registered Nurse | 2026-05-09 |
| Fabian Romo | 1208 E Campbell Ave, Phoenix, AZ 85014-4205 | Registered Nurse | 2026-05-09 |
| Deanna Sommars | 415 Capitol St, Salinas, CA 93901-2605 | Registered Nurse | 2026-05-09 |
| Candice Nichole Wiley | 441 N Louisiana Ave Ste Q, Asheville, NC 28806-3791 | Registered Nurse | 2026-05-09 |
| Natalie Rowley | 21249 E Superstition Dr, Queen Creek, AZ 85142-0657 | Registered Nurse | 2026-05-09 |
| Angela Yvonne Dolby | 502 W Highland Blvd, Inverness, FL 34452-4720 | Registered Nurse | 2026-05-09 |
| Find all providers with the same taxonomy | |||
| Street Address |
527 COBBS ST NORTHERN LAKES COMMUNITY MENTAL HEALTH |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Catherine Larson | 527 Cobbs Street, Cadillac, MI 49601 | Psychiatric/Mental Health Registered Nurse | 2013-02-22 |
| Cara Eliza Brinzeiu · Cara Eliza Wallace | 527 Cobbs St, Cadillac, Cadillac, MI 49601-2540 | Psychiatry Physician | 2006-07-27 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Melissa Suriano | 932 N Mitchel St, Cadillac, MI 49601 | Behavior Technician | 2022-10-24 |
| Cameron Dehaan | 7800 Us 131 South, Cadillac, MI 49601 | Student in an Organized Health Care Education/Training Program | 2013-05-01 |
| Rosanne Marie Denny | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | Behavior Technician | 2017-02-28 |
| Kristine Treston Kowalewsky | 9065 34th Rd, Cadillac, MI 49601 | Family Nurse Practitioner | 2022-09-21 |
| Serenity Adult Foster Care Home LLC | 2883 S. 41 Rd., Cadillac, MI 49601 | Foster Care Agency | 2013-07-29 |
| Vicki Lynne Schutte | 7716 S. 27 Rd, Cadillac, MI 49601 | Behavior Technician | 2017-03-15 |
| Curry House | 5858 S 47 Rd., Cadillac, MI 49601 | Nursing Home Administrator | 2013-07-05 |
| Eric Johnson | 304 Oak St Ste 100, Cadillac, MI 49601 | Occupational Therapist | 2021-12-30 |
| Heather M Ressler | 521 Cobb St., Cadillac, MI 49601 | Community Health Worker | 2024-02-07 |
| Diane Lyn Stearns | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | Physical Therapy Assistant | 2020-01-09 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Rose Bartman · Rose Thompson | 11228 56th Ave, Allendale, MI 49401-9154 | Chiropractor | 2026-03-24 |
| Kaylynn Rose Afanasiev · Kaylynn Rose Puckett | 1322 30th St Se Apt 1, Auburn, WA 98002-8153 | Behavior Technician | 2026-02-05 |
| Rose Lynch · Rose Krzemien | 250 Mount Lebanon Blvd, Pittsburgh, PA 15234-1252 | Speech-Language Pathologist | 2026-05-04 |
| Zoe R Clark | 3100 De La Cruz Blvd Ste 310, Santa Clara, CA 95054-2452 | Social Worker | 2026-04-21 |
| Brittany Rose Clark | 2810 W 150 N, Washington, In, IN 47501 | Developmental Therapist | 2023-09-28 |
| Autumn Rose Clark | 6095 Big Texas Valley Rd Nw, Rome, GA 30165-9753 | Professional Counselor | 2026-03-30 |
| Emma Rose King · Emma Rose Mongell | 4750 E 450 S Ste A, Whitestown, IN 46075-8404 | Pharmacist | 2026-04-02 |
| Hallie Clark Lambert · Hallie Shawn Clark | 12405 Bobhouse Dr, Charlotte, NC 28277-2607 | Speech-Language Pathologist | 2026-03-31 |
| Brittany A Clark · Bee Clark | 4400 Lottsford Vista Rd, Lanham, MD 20706-4818 | Behavior Technician | 2026-02-25 |
| Jennifer Rose Clark | 4653 E Main St, Whitehall, OH 43213-3298 | Case Manager/Care Coordinator | 2026-05-04 |
Do you have more infomration about Nedra Rose Clark? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |