KRISTA M CLARK NPI 1073687224

NPI Information

  • NPI: 1073687224
  • Provider Name: KRISTA M CLARK
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Individual
  • Address: 810 HADLEY AVE
    OLD HICKORY, TN
    ZIP 37138
  • Phone: (615) 847-8000

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NPI Details

Krista M Clark is a prosthetics case management specialist in Old Hickory, TN. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. Krista M Clark NPI is 1073687224. 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:

810 HADLEY AVE
OLD HICKORY, TN
ZIP 37138-121
Phone: (615) 847-8000
Fax: (615) 847-4693

The enumeration date for this NPI number is 11/20/2006 and was last updated on 12/5/2007.

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
11744P3200XSpecialistProsthetics Case ManagementYes

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
11454254MEDICAIDTENNESSEE
24018836OTHERTENNESSEEBCBS OF TN
31307810001MEDICARE NSCTENNESSEE

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: 3/30/2025

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