Demetria Clark

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

J208020005 Issued in MO

Practice address

1153 N Highway 67 St
Florissant, MO 63031-4701

Phone

(314) 243-1398

NPI assigned

Mar 31, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clark Transportation Services LLC

  • Non-emergency Medical Transport (VAN)
  • Florissant, MO
  • NPI 1659211332
  NPD Authorized official

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1194665927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 N HIGHWAY 67 ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314701",
            "telephone_number": "314-243-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 N HIGHWAY 67 ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314701",
            "telephone_number": "314-243-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DEMETRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MO",
            "license": "J208020005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Burton Chukwuka, MSN, RN, PMHNP-BC
• Alexis Citchen
• Clark Transportation Services LLC
• Asha Allison Clark-Carter
• Celeste Clark
• Dominique Clark
• Donyai Clark, RBT
• Latoya Clark
• Magdalena Ann Clark, RPH
• Michele Clark, PT

• Non-emergency Medical Transport (VAN) in Florissant, MO
• Providers in Florissant, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.