CAROLINE CLARK ARNP NPI 1861586182

NPI Information

NPI: 1861586182
Provider Name: CAROLINE CLARK, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
602 E NOB HILL BLVD
YAKIMA, WA
ZIP 98901
Phone: (509) 248-3334
Get Directions

Caroline Clark, ARNP is a family nurse practitioner in Yakima, WA with 20 years of experience. Caroline Clark, ARNP NPI is 1861586182. 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:

602 E NOB HILL BLVD
YAKIMA, WA
ZIP 98901-534
Phone: (509) 248-3334
Fax: (509) 453-6144

The NPI 1861586182 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 10/3/2006 and was last updated on 7/8/2007.

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	363LF0000X	Nurse Practitioner	Family	AP30006884	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0192516	OTHER	WASHINGTON	L & I
2	Q34200	MEDICARE UPIN
3	9643461	MEDICAID	WASHINGTON
4	9643461	OTHER	WASHINGTON	CHPW
5	P00231127	MEDICARE ID-TYPE UNSPECIFIED		RR MEDICARE
6	8940611	OTHER	WASHINGTON	CRIMEVICTIMS
7	G8850975	MEDICARE ID-TYPE UNSPECIFIED
8	5262CL	OTHER	WASHINGTON	REGENCE

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: 4/28/2024

NPI Synchronization or Removal

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