Individual provider Active NPI

Anna Laura Chae Clark, MSN

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1144657602
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
835298 Issued in TX
Practice address
7400 Fannin St
Suite 1050
Houston, TX 77054-1920
Phone
(713) 206-2903
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 835298 TX
Family Nurse Practitioner 363LF0000X 835298 TX Primary

Addresses

Primary practice location

7400 Fannin St
Suite 1050
Houston, TX 77054-1920

Mailing address

7400 Fannin St
Suite 1050
Houston, TX 77054-1920
Phone (713) 206-2903

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ANNA.CLARK@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140902001377 TX Practitioner - Nurse Practitioner 7911125059 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
835298TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hwca, PLLC CurrentSince Mar 19, 2017 Accepting new patients
Judah Christian Counseling & Recovery PLLC Past Accepting new patients
Houston Women'S Care Associates, P.a. Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7400 Fannin St
Ste 1050
Houston, TX 77054
Phone (713) 795-1000

7915 Cypress Creek Pkwy
Houston, TX 77070
Phone (281) 890-1182

7500 Fannin St
Ste 400
Houston, TX 77054
Phone (713) 795-1000

16552 Southwest Fwy
#A
Sugar Land, TX 77479
Phone (281) 242-0767

Interoperability endpoints

  • Direct secure messaging: anna.clark@hca9.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1144657602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST",
            "address_2": "SUITE 1050",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541920",
            "telephone_number": "713-206-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST",
            "address_2": "SUITE 1050",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541920",
            "telephone_number": "713-206-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANNA",
        "middle_name": "LAURA CHAE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "835298",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "835298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANNA.CLARK@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7400 Fannin St",
            "address_2": "SUITE 1050",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770541920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.