Active NPI
Janice Clark, ARNP
- Women's Health Nurse Practitioner
- Clinton, IA
National Provider Identifier
1346329976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F065159
- Practice address
- 507 S 4TH St
Clinton, IA 52732-4532 - Phone
- (563) 241-4000
- Fax
- (563) 241-4004
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F065159 | IA | Primary |
Addresses
Primary practice location
507 S 4TH St
Clinton, IA 52732-4532
Mailing address
507 S 4TH St
Clinton, IA 52732-4532
Phone (563) 241-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F065159 | IA | MD | Women's Health Nurse Practitioner |
Interoperability endpoints
- janice.clark.1@14940.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1346329976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S 4TH ST",
"city": "CLINTON",
"state": "IA",
"postal_code": "527324532",
"telephone_number": "563-241-4000",
"fax_number": "563-241-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S 4TH ST",
"city": "CLINTON",
"state": "IA",
"postal_code": "527324532",
"telephone_number": "563-241-4000",
"fax_number": "563-241-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JANICE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IA",
"license": "F065159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.