James Daniel Clark, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61135106 Issued in WA

Practice address

22725 44TH Ave W Ste 202
Mountlake Terrace, WA 98043-4500

Phone

(564) 234-3123

NPI assigned

Sep 17, 2020

Last updated

Sep 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bear Clark Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Resilient ADHD LLC

  dba Resilient ADHD Clinic LLC

  • Family Nurse Practitioner
  • Mountlake Terrace, WA
  • NPI 1588512404
  NPD Authorized official
• Winston Center for Attention, Language and Learning PS

  dba Winston Center

  • Psychiatry Physician
  • Spokane, WA
  • NPI 1356739700
  NPD (past)

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1285240036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 17TH AVE NW STE 2024",
            "address_2": "SUITE 2024",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075232",
            "telephone_number": "564-234-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 202",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434500",
            "telephone_number": "564-234-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61135106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEAR",
            "last_name": "CLARK",
            "credential": "DNP, APRN, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janeen Christian
• Edwin Chung
• Christine Alison Cirovic, N.D.
• Christine Parker Civello, MA, LPC-A
• Emma Jean Clark, LMP
• Julie Anne Clark, CDP
• Tiffany Ann Classen, MA, LMFT
• John E Clavadetscher, O.D.
• Caitlin Clements, B.A.
• Cloud 9 Anesthesia, LLC

• Family Nurse Practitioner in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.