Julianna Clarke

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

34643 Issued in TN

Practice address

300 S Walnut Bend Rd Ste 12
Cordova, TN 38018-7527

Phone

(901) 767-0101

Fax

(901) 767-0304

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By 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

Enrolled in TN, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mittal Kidney and Dialysis, PCGroup PAC ID 9830152958, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.16 of 100Reported as group

Quality

100

Promoting interoperability

99

Improvement activities

40

Cost

78.04

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73850
• FHIR API: https://fhir4.healow.com/fhir/r4/GCFDAA
• Direct secure messaging: jclarke67720@mlh.direct-ci.com

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.

• Mittal Kidney and Dialysis PC

  • Nephrology Physician
  • Cordova, TN
  • NPI 1831201466

  MS

  Medicare reassignment Care Compare group NPD
• Memphis Neurology PLLC

  • Neurology Physician
  • Germantown, TN
  • NPI 1700943172
  NPD (past)
• Mittal Kidney and Dialysis

  • Adult Health Clinical Nurse Specialist
  • Cordova, TN
  • NPI 1750835724
  NPD (past)

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1336927797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 HOLLY SPRINGS RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386327262",
            "telephone_number": "843-607-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WALNUT BEND RD STE 12",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187527",
            "telephone_number": "901-767-0101",
            "fax_number": "901-767-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JULIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "34643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessiana Clark, BA
• Julia Clark, RBT
• Kaleigh Clark, LCSW
• Lisa L Clark, PH.D.
• Tanecia Clark
• Ayana Claxton
• Jordan Deshaun Clay
• Claycon, LLC (Turning Point Recovery)
• Kimberly Anne Clayton, MS-CCC-SLP
• Gina Tess Clemens, PHARM,D

• Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.