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CAROL D. CLARK ARNP BC NPI 1457423055


NPI Information

NPI: 1457423055
Provider Name: CAROL D. CLARK, ARNP, BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: THE CHRISTIAN AND MISSIONARY ALLIANCE FOUNDATION, INC

PECOS Registration: Yes

Address:
13880 SHELL POINT PLAZA
SUITE 110
FORT MYERS, FL
ZIP 33908
Phone: (239) 466-1111
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Carol D. Clark, ARNP, BC is a gerontology nurse practitioner in Fort Myers, FL with 29 years of experience. Carol D. Clark, ARNP, BC NPI is 1457423055. 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:

13880 SHELL POINT PLAZA
SUITE 110
FORT MYERS, FL
ZIP 33908-504
Phone: (239) 466-1111
Fax: (239) 454-2111

The NPI 1457423055 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 11/15/2006 and was last updated on 2/14/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontologyARNP9191162FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.