Patricia Clark, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP04330 Issued in LA

Practice address

1316 Hymelia Ave
Metairie, LA 70003-3710

Phone

(504) 818-2296

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samuel Y Brown MD Apmc

  • Pediatrics Physician
  • Kenner, LA
  • NPI 1437326014
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1093897266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 HYMELIA AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700033710",
            "telephone_number": "504-818-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 HYMELIA AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700033710",
            "telephone_number": "504-818-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PATRICIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP04330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173762",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gelescia Clark
• Jennifer Clark, PA-C
• Leslie B Clark, PT
• Marlee R Clark
• NA'Triana Clark
• R.L. Clark Jr.
• William Clark, MD
• Krystal Clausell
• Larrione Armani Clausell
• Claire Clavel

• Nurse Practitioner in Metairie, LA
• Providers in Metairie, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.