Deborah S Clark, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3005972 Issued in KY

Practice address

210 N Main St
Morgantown, KY 42261-7919

Phone

(270) 526-3137

Fax

(270) 526-4829

NPI assigned

Mar 13, 2009

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.clark@ocfch.eclinicaldirectplus.com

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.

• Ohio County Hospital Corporation

  • Emergency Medicine Physician
  • Hartford, KY
  • NPI 1386764678
  NPD
• Ohio County Hospital Corporation

  • Surgery Physician
  • Hartford, KY
  • NPI 1407049000
  NPD

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1144461559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470148",
            "telephone_number": "270-504-1300",
            "fax_number": "270-504-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617919",
            "telephone_number": "270-526-3137",
            "fax_number": "270-526-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM # WITH CHS, INC.",
            "identifier": "000000620424",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100082850",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200975180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Byrd, CCC-SLP
• Tori Leighann Cardwell, M.S., CF-SLP
• Sabrina Carter, RN
• Changing Lives Together Residential Services, LLC
• Shalini Chhabra, M.D.
• Cohron Family Optometric Services Inc
• Wallace Todd Cohron, OD
• Chloe Corley
• Matthew Cravens, DPT
• Chelsee Dalcourt

• Family Nurse Practitioner in Morgantown, KY
• Providers in Morgantown, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.