KATHRYN JANE CLARKE NPI 1831642438

NPI Information

NPI: 1831642438
Provider Name: KATHRYN JANE CLARKE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5270 BUDAPEST PL
DULLES, VA
ZIP 20189
Phone: (206) 512-6556
Get Directions

Kathryn Jane Clarke is a psychiatric/mental health nurse practitioner in Dulles, VA. Kathryn Jane Clarke NPI is 1831642438. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5270 BUDAPEST PL
DULLES, VA
ZIP 20189-269
Phone: (206) 512-6556

The NPI 1831642438 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2016 and was last updated on 5/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		0001275652	VIRGINIA	No
2	163W00000X	Registered Nurse		RN 60141168	WASHINGTON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024175369	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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