Active NPI
Natalie M Clark, BS
- Case Manager/Care Coordinator
- Carmichaels, PA
National Provider Identifier
1215186804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 601 W George St
Carmichaels, PA 15320-1325 - Phone
- (724) 966-2924
- NPI assigned
- Sep 18, 2008
- Last updated
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
601 W George St
Carmichaels, PA 15320-1325
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007288440093 | Medicaid | PA | |
| 328834A764918 | Other | PA | VALUE BEHAVIORAL HEALTH |
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1215186804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 OLD NATIONAL PIKE",
"city": "FREDERICKTOWN",
"state": "PA",
"postal_code": "153332114",
"telephone_number": "724-632-6801",
"fax_number": "724-632-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W GEORGE ST",
"city": "CARMICHAELS",
"state": "PA",
"postal_code": "153201325",
"telephone_number": "724-966-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "NATALIE",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007288440093",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE BEHAVIORAL HEALTH",
"identifier": "328834A764918",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmichaels, PA
- Centerville Clinics - Carmichael X-Ray
- Centerville Clinics Inc
- Centerville Clinics, Inc Blended
- Centerville Clinics, Inc Carmichaels Area School
- Centerville Clinics, Inc.
- Claysville Pharmacy LLC (Curtis Pharmacy)
- Claysville Pharmacy LLC (Curtis Pharmacy)
- Bridget Coologhan, CCC-SLP
- Stephanie A Cooper, B.A.
- Timmi L Cosgrove
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.