Erika Clark

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703104793 Issued in MI

Practice address

350 Elm St
Dimondale, MI 48821-9556

Phone

(517) 410-2004

NPI assigned

Jul 22, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1003223090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "DIMONDALE",
            "state": "MI",
            "postal_code": "488210076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ELM ST",
            "city": "DIMONDALE",
            "state": "MI",
            "postal_code": "488219556",
            "telephone_number": "517-410-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ERIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703104793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Speech-Language Services
• Daniel Robert Bair, DDS
• Timothy M Bair, D.D.S.
• Kristy L Beck-Bair, D.D.S.
• Brian M Grisdela DDS PLLC
• Rebecca J Coccia, N.P.
• Denise Lynne Cooper, CNP
• Diamondale Nursing Care Center, LLC
• Echo Integrative
• Family Dental Care of Dimondale, PC

• All providers in Dimondale, MI
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.