Clark Nursing LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

CLARK NURSING LLC

Practice address

30818 412TH Dr. N.E.
Arlington, WA 98223

Phone

(360) 631-0550

Fax

(844) 802-8518

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Denise Lorrayne Clark, RNNPI 1578990487

Title

Registered Nurse Delegator

Phone

(360) 631-0550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Lorrayne Clark, RN, RND, BSN, CCRN

  • Registered Nurse
  • Arlington, WA
  • NPI 1578990487
  NPD Authorized official

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1225667462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 N OLYMPIC AVE UNIT 393",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982230616",
            "telephone_number": "360-631-0550",
            "fax_number": "844-802-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30818 412TH DR. N.E.",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "98223",
            "telephone_number": "360-631-0550",
            "fax_number": "844-802-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "LORRAYNE",
        "authorized_official_title_or_position": "REGISTERED NURSE DELEGATOR",
        "authorized_official_telephone_number": "360-631-0550",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Choong, DC
• Chrysalis Clinic of Permanent Cosmetics
• Anthony Ifediora Chukwunta
• Jessica Cicoria, DO
• City of Arlington
• Denise Lorrayne Clark, RN, RND, BSN, CCRN
• Jennica Ann Clasby, RDN
• Clay & Davis Development, LLC
• Jamie Leigh Clayton, RD
• Sharon K Clifner, PMHNP

• Registered Nurse in Arlington, WA
• Providers in Arlington, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.