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LARK MEDICAL ASSOCIATES LLC NPI 1831501501


NPI Information

NPI: 1831501501
Provider Name: LARK MEDICAL ASSOCIATES, LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 44D2078987

Address:
275 HIGHWAY 11 E
BULLS GAP, TN
ZIP 37711
Phone: (423) 393-4052
Get Directions

LARK MEDICAL ASSOCIATES, LLC is a nurse practitioner in Bulls Gap, TN. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. LARK MEDICAL ASSOCIATES, LLC NPI is 1831501501. The provider is registered as an organization entity type.

The provider's business location address is:

275 HIGHWAY 11 E
BULLS GAP, TN
ZIP 37711-417
Phone: (423) 393-4052
Fax: (423) 933-2915

The provider's authorized official is Linda S Housewright .
The authorized official title is Owner and has the following contact phone number (423) 393-4052.

The CLIA number assigned to this NPI record is 44D2078987 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 4/27/2022.


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
1261QP2300XClinic/CenterPrimary CareNo
2363L00000XNurse PractitionerAPN0000006848TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q009488MEDICAIDTENNESSEE

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

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.