Active NPI
Lexi Clark, RN
- Registered Nurse
- Lititz, PA
National Provider Identifier
1154051464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN716831
- Practice address
- 1500 Highlands Dr
Lititz, PA 17543-7694 - Phone
- (717) 625-5000
- NPI assigned
- Jun 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN716831 | PA | Primary |
Addresses
Primary practice location
1500 Highlands Dr
Lititz, PA 17543-7694
Mailing address
602 S Ann St
Lancaster, PA 17602-4616
Phone (717) 606-2582
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Clarklr2@upmc.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN716831 | PA | MD | Registered Nurse |
Interoperability endpoints
- clarklr2@upmc.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1154051464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 S ANN ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176024616",
"telephone_number": "717-606-2582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HIGHLANDS DR",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437694",
"telephone_number": "717-625-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "LEXI",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN716831",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Clarklr2@upmc.edu",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1500 Highlands Dr",
"city": "Lititz",
"state": "PA",
"country_code": "US",
"postal_code": "175437694",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.