Active NPI
Lauretta E Clark
- School Counselor
- Gilbert, AZ
National Provider Identifier
1013194000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 4068 E Pecos Rd
Gilbert, AZ 85295-2529 - Phone
- (480) 279-7321
- Fax
- (480) 279-7305
- NPI assigned
- Jan 22, 2008
- Last updated
- Feb 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | AZ | Primary |
Addresses
Primary practice location
4068 E Pecos Rd
Gilbert, AZ 85295-2529
Mailing address
4068 E Pecos Rd
Gilbert, AZ 85295-2529
Phone (480) 279-7321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1013194000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4068 E PECOS RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852952529",
"telephone_number": "480-279-7321",
"fax_number": "480-279-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4068 E PECOS RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852952529",
"telephone_number": "480-279-7321",
"fax_number": "480-279-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "LAURETTA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.