Klarissa Ann Clinger

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

18 S 1St E
Rexburg, ID 83440-1902

Phone

(208) 656-4484

NPI assigned

Jun 30, 2023

Last updated

Jun 30, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1053098038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E ELM ST",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832741314",
            "telephone_number": "208-206-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S 1ST E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401902",
            "telephone_number": "208-656-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGER",
        "first_name": "KLARISSA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kohlee Clark
• Susan B Clark, MS, RD, LD, CDE
• Janell Clement, LCSW
• Zackery J Cleverley, PA-C
• Jeffery Michael Clift, MOT
• Melissa Clinger
• Clubhouse Pediatric Dentistry of Madison
• Richard B Cluff, PH.D.
• Cameron James Codd, DO
• Vail Codling, LCSW

• Student in an Organized Health Care Education/Training Program in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Student in an Organized Health Care Education/Training Program in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.