Brenda Clark
Technician (Attendant Care Provider)

Address: 5824 Catalina Dr, Columbus, GA 31909-4660
Phone: 7065961845

Brenda Clark (NPI# 1265083497) 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) 1265083497
Entity Type Individual
Full Name Brenda Clark
Gender Female
Practice Address 5824 Catalina Dr
GA 31909-4660
Practice Telephone 7065961845
Mailing Address 5824 Catalina Dr
GA 31909-4660
Mailing Telephone 7065961845
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-09-29
Last Update Date 2019-09-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 3747A0650X Technician · Attendant Care Provider Nursing Service Related Providers

Providers with the same name

NPI Name Taxonomy Address Enumeration
1346592946 Brenda Flynn Clark Social Worker 601n State St, Ukiah, CA 95482-4026 2012-10-05
1346536802 Brenda J. Clark Massage Therapist 19626 Nara Vista Dr, Tomball, TX 77377-3478 2011-06-23
1629373881 Brenda Jill Clark Nurse Practitioner 2312 Ridgeway Ave, Oskaloosa, IA 52577-9109 2011-01-20
1710147798 Brenda S Clark Speech-Language Pathologist 7501 Otoe Pl, Lincoln, NE 68506-3636 2008-06-12
1417979576 Brenda B Clark Physician Assistant 371 Nc Hwy 65, Suite204 Rockingham Co. Dept of Public Health, Wentworth, NC 27375-0204 2006-07-24
1760479661 Brenda Clark Nurse Practitioner 5717 Albemarle Rd, Charlotte, NC 28212-1634 2005-10-05
1881245850 Brenda B Clark Registered Nurse 6565 Fannin St, Houston, TX 77030-2703 2019-09-21
1255820569 Brenda Clark Social Worker 4641 Fulton Dr Nw, Canton, OH 44718-2384 2018-05-02
1376050914 Brenda Belden Clark Pharmacist 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 2018-01-04
1508379504 Brenda M Clark Registered Nurse 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2017-11-13
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033716337 Holly Noel Shira Technician 4806 Kingshill Dr, Columbus, OH 43229-6204 2020-10-08
1306464037 Vickie Moore Technician 1639 Breeds Hill Loop, Columbus, GA 31907-7430 2020-07-09
1831724723 Delvonne Mcadoo Technician 6075 Lepage Court, Columbus, OH 43229 2020-03-11
1528601234 Raquel Moore Technician 849 Baycreek Ct, Columbus, GA 31907-5373 2019-10-25
1295386548 Barbara Jean Thrower Technician 6289 Dupree Dr, Columbus, GA 31907-4485 2019-09-26
1619526670 Lori Ann Pace-johnston Technician 741 Bedford Avenue, Columbus, OH 43205-2846 2019-09-11
1891343927 Theresa Kay Alls Technician 7431 Bride Water Blvd, Columbus, OH 43235-4300 2019-09-02
1760037501 Luisa Loke Noa I Technician 3527 Claretta Rd, Columbus, OH 43232-5916 2019-08-08
1801364013 Sierra Jiles Johnson Technician 4519 Fairview Dr, Columbus, GA 31907-1219 2018-11-06
1215434600 Kiven Konglim Technician 1415 E Dublin Granville Rd Ste 201, Columbus, OH 43229-3311 2018-04-11
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Office Location

Street Address 5824 CATALINA DR
State GA
Zip Code 31909-4660

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235747403 Abundant Heart Healthcare Solution, LLC Adult Companion 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 2020-07-14
1477185791 Shandis Denise Phaneuf Licensed Practical Nurse 6545 Gregg Dr, Columbus, GA 31909 2020-02-05
1164086203 Brock Musick Physical Therapist 100 First Court, Columbus, GA 31909 2019-04-24
1407340037 Courtney Patterson Behavior Technician 5900 Warm Springs Road, Suite J, Columbus, GA 31909 2018-06-18
1225543515 Oral & Facial Surgery of East Alabama, LLC Dentist 4405 N Stadium Drive, Suite A, Columbus, GA 31909 2017-12-08
1528577368 Courtney Anne Young Nurse Practitioner 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 2017-09-25
1427573542 Megan Renee Kwon Dietitian, Registered 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 2017-08-09
1942659305 Stephanie Mcghee Dental Hygienist 4835 Turnberry Lane, Columbus, GA 31909 2016-06-07
1770932162 Tammy Allen Dental Assistant 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 2016-06-07
1003265406 Rhonda Mills Dental Assistant 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 2016-06-07
Find all providers in zip 31909


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Zip Code 31909

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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.