Stacey Lynn Clark, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN696926 Issued in PA

Practice address

9709 Lincoln Hwy
Bedford, PA 15522

Phone

(814) 652-3220

NPI assigned

Jun 27, 2018

Last updated

Jul 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Pittsburgh Care Partnership, Inc.

  • PACE Provider Organization
  • McKeesport, PA
  • NPI 1437205952
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1235624602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W JOHN ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221711",
            "telephone_number": "814-617-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 LINCOLN HWY",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "15522",
            "telephone_number": "814-652-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "PA",
            "license": "RN696926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn A Chandler, LSW
• Childen's Community Care (Children's Community Pediatrics)
• Amy Julia Chirichetti, LCSW
• Heather Christiana, PTA
• Jordan Clark, PHDHP
• Danielle Colene Claycomb, LMT
• Conemaugh Health Initiatives (CHI Slick)
• Lauren Cornell
• Natasha Crissey, B.S.
• Michele Delann Crist, OTR/L

• Case Management Registered Nurse in Bedford, PA
• Providers in Bedford, PA by specialty
• Case Management Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.