NANCI LEA CLARK DPM NPI 1831270636

NPI Information

NPI: 1831270636
Provider Name: NANCI LEA CLARK, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: GILA RIVER HEALTH CARE CORPORATION

PECOS Registration: Yes

Address:
7828 WAKELEY PLZ
OMAHA, NE
ZIP 68114
Phone: (402) 926-2600
Get Directions

Nanci Lea Clark, DPM is a foot and ankle surgery podiatrist in Omaha, NE with 24 years of experience. Nanci Lea Clark, DPM NPI is 1831270636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2000

The provider's business location address is:

7828 WAKELEY PLZ
OMAHA, NE
ZIP 68114-650
Phone: (402) 926-2600
Fax: (402) 926-2605

The NPI 1831270636 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).

The enumeration date for this NPI number is 10/18/2006 and was last updated on 12/11/2012.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	292	NEBRASKA	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
1	5130280001	MEDICARE NSC	NEBRASKA
2	10025113300	MEDICAID	NEBRASKA
3	277629	MEDICARE ID-TYPE UNSPECIFIED	NEBRASKA
4	U93215	MEDICARE UPIN	NEBRASKA

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

NPI Synchronization or Removal

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