September Clark

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN203512 Issued in AZ

Practice address

2701 W Memorial Dr
Anthem, AZ 85086-4955

Phone

(623) 445-7410

NPI assigned

Aug 17, 2017

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

State licenses

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1346766755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 W PHALEN DR",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850875985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W MEMORIAL DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864955",
            "telephone_number": "623-445-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SEPTEMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN203512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle E Choi, DDS
• Christine a Smith PL
• Joan Frances C Chua, MD
• Cigna Health Care of Arizona, Inc.
• Molly C Clancy, DPT
• Andi M Coffee, NUTRITIONIST
• Christine Colon, MS, LPC, NCC, CRC
• Comfortable Couch Counseling, LLC
• Core Resilience Center, LLC
• Karen Nicole Cox, DNP, FNP-C

• Registered Nurse in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.