Active NPI
Lauren E Clark, RN
- Case Manager/Care Coordinator
- Hudson, NY
National Provider Identifier
1356587794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 325 Columbia St Ste 100
Hudson, NY 12534-1913 - Phone
- (518) 828-4278
- Fax
- (518) 671-6738
- NPI assigned
- Jan 6, 2009
- Last updated
- Aug 27, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 485580 | NY | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
325 Columbia St Ste 100
Hudson, NY 12534-1913
Mailing address
325 Columbia St Ste 100
Hudson, NY 12534-1913
Phone (518) 828-4278
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03003752 | Medicaid | NY | |
| 1114056777 | Medicaid | NY |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 485580 | NY | MD | Ambulatory Women's Health Care Registered Nurse |
Organizations & group practices 2
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.
-
- Case Management Agency
- Hudson, NY
- NPI 1831283985
-
- Local Education Agency (LEA)
- Hudson, NY
- NPI 1891840146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1356587794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 COLUMBIA ST STE 100",
"city": "HUDSON",
"state": "NY",
"postal_code": "125341913",
"telephone_number": "518-828-4278",
"fax_number": "518-672-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 COLUMBIA ST STE 100",
"city": "HUDSON",
"state": "NY",
"postal_code": "125341913",
"telephone_number": "518-828-4278",
"fax_number": "518-671-6738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "LAUREN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "NY",
"license": "485580",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03003752",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114056777",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.