Laura Clark
Individual provider Active NPI Case Manager/Care Coordinator · Fayetteville, TN
NPI 1245540558 · NPPES record last updated Oct 20, 2010
Key facts
- NPI
- 1245540558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2241 Thornton Taylor Pkwy
Fayetteville, TN 37334-3637 - Phone
- (931) 433-6456
- NPI assigned
- Oct 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Tennessee, Inc. | Past |
Accepting new patients | |
| Centerstone of Tennessee, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2241 Thornton Taylor Pkwy
Fayetteville, TN 37334-3637
Mailing address
2241 Thornton Taylor Pkwy
Fayetteville, TN 37334-3637
Phone (931) 433-6456
Other providers in Fayetteville, TN
- Mary Causey
- Center for Physical Medicine
- Chiropractic Health Center
- Christopher E Gafford Dba Gafford Family Medicine
- Kerri Lu Leva Cisney
- Robert Lewis Clark
- Richard William Cline Jr.
- Rudy Theodore Cobb
- Colbert Family Densistry
- James E Colbert
All providers in Fayetteville, TN · Case Manager/Care Coordinator in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.