Individual provider Active NPI

Laura Kay Clark, FNP-BC, APRN

  • Family Nurse Practitioner
  • Morrilton, AR
National Provider Identifier
1114029238
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A001810 Issued in AR
Practice address
#4 Hospital Drive
St. Vincent Morrilton Hospital
Morrilton, AR 72110-4510
Phone
(501) 977-2300
Fax
(501) 977-2341
NPI assigned
Sep 1, 2006
Last updated
Oct 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A001810 AR Primary

Addresses

Primary practice location

#4 Hospital Drive
St. Vincent Morrilton Hospital
Morrilton, AR 72110-4510

Mailing address

#4 Hospital Drive
St. Vincent Morrilton Hospital
Morrilton, AR 72110-4510
Phone (501) 977-2300

Other identifiers 1

IdentifierTypeStateIssuer
117992003MedicaidAR

Other names 1

  • Laura Kay Clark-Bean Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130206000479 AR Practitioner - Nurse Practitioner 3971652132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Anthonys Hospital AssociationGroup PAC ID 4082516554, 10 clinicians

Practice addresses (Care Compare)

4 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 977-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A001810ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group CurrentSince May 14, 2023 Accepting new patients
St Vincent Physician Clinics LLC Family Past Accepting new patients

Locations

10001 Lile Dr
Little Rock, AR 72205
Phone (501) 227-8000

10301 Kanis Rd
#1
Little Rock, AR 72205
Phone (501) 562-4838

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

6800 Lindsey Rd
Little Rock, AR 72206
Phone (501) 490-1633

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

5125 Northshore Dr
North Little Rock, AR 72118

Interoperability endpoints

  • Direct secure messaging: laura.clark.1@14940.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1114029238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#4 HOSPITAL DRIVE",
            "address_2": "ST. VINCENT MORRILTON HOSPITAL",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104510",
            "telephone_number": "501-977-2300",
            "fax_number": "770-874-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#4 HOSPITAL DRIVE",
            "address_2": "ST. VINCENT MORRILTON HOSPITAL",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104510",
            "telephone_number": "501-977-2300",
            "fax_number": "501-977-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LAURA",
        "middle_name": "KAY",
        "credential": "FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A001810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117992003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CLARK-BEAN",
            "middle_name": "KAY",
            "credential": "FNP-BC, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrilton, AR

Sources for this page

Verify at the official NPI Registry.