Nicholas Clark, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

728326 Issued in PA

Practice address

1538 Monterey St
Pittsburgh, PA 15212-4090

Phone

(567) 207-8646

NPI assigned

Nov 15, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1346906385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 MONTEREY ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124090",
            "telephone_number": "567-207-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 MONTEREY ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124090",
            "telephone_number": "567-207-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NICHOLAS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "728326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyle Anthony Clark, B.S.
• Maria Clark
• Melissa Piron Clark, MD
• Michael Patrick Clark Sr., D.C.
• Miranda Joy Clark
• R. Ray Clark, PH.D.
• Rebecca Maria Clark, MS, LCGC
• Robert Clark
• Ryan John Clark, MD
• Sara McMahon Clark

• Registered Nurse in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.