Charlotte Barbara Clark-Neitzel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0029059 Issued in WA

Practice address

3775 Martin Way E
Suite a
Olympia, WA 98506-5007

Phone

(360) 236-7166

Fax

(360) 529-8070

NPI assigned

Jan 17, 2007

Last updated

Feb 21, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of California, San Diego School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis County Community Health ServicesGroup PAC ID 6002803749, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charlotte.clarkneitzel.p1@direct.valleyviewhc.nextgenshare.com

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.

• Lewis County Community Health Services

  dba Valley View Health Center

  • Federally Qualified Health Center (FQHC)
  • Chehalis, WA
  • NPI 1134164692
  Medicare reassignment Care Compare group
• Lewis County Community Health Services

  dba Valley View Health Center - Olympia

  • Federally Qualified Health Center (FQHC)
  • Olympia, WA
  • NPI 1104265925
  NPD
• Bryan Morris-Ward MD PLLC

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1215126974
  NPD (past)
• Kathleen M. Hurd MD PS

  dba Woodard Creek Family Health

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1457537557
  NPD (past)
• Lewis County Community Health Services

  dba Valley View Health Center - Community Care Center Olympia

  • Federally Qualified Health Center (FQHC)
  • Olympia, WA
  • NPI 1205309937
  NPD (past)
• Lewis County Community Health Services

  dba Valley View Health Center

  • Federally Qualified Health Center (FQHC)
  • Morton, WA
  • NPI 1700146206
  NPD (past)
• Thurston Emergency Group a Professional LLC

  • Emergency Medicine Physician
  • Olympia, WA
  • NPI 1558526756
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1144372525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322412",
            "telephone_number": "360-330-9562",
            "fax_number": "360-330-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 MARTIN WAY E",
            "address_2": "SUITE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065007",
            "telephone_number": "360-236-7166",
            "fax_number": "360-529-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-NEITZEL",
        "first_name": "CHARLOTTE",
        "middle_name": "BARBARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD0029059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Olympia
• City of Olympia (Olympia Fire Department CARES)
• Megan Claar, RN, BSN
• Dennis Clarin, L.AC.
• Clarity Within Counseling PLLC
• Alyssa Compton Clark
• Ashleigh L Clark, BA, CDPT
• Cary Ann Clark
• Daniel W Clark, PHD
• Matthew Clark

• Family Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.