Active NPI
Erin Ann Clark, CRNP
- Family Nurse Practitioner
- Somerset, PA
National Provider Identifier
1396137592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP013985
- Practice address
- 5706 Glades Pike
Somerset, PA 15501-8302 - Phone
- (814) 444-1308
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP013985 | PA | Primary |
Addresses
Primary practice location
5706 Glades Pike
Somerset, PA 15501-8302
Mailing address
663 Jones Mills Stahlstown Rd
Stahlstown, PA 15687-1235
Phone (724) 396-5740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013985 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1396137592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 JONES MILLS STAHLSTOWN RD",
"city": "STAHLSTOWN",
"state": "PA",
"postal_code": "156871235",
"telephone_number": "724-396-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5706 GLADES PIKE",
"city": "SOMERSET",
"state": "PA",
"postal_code": "155018302",
"telephone_number": "814-444-1308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ERIN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP013985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, PA
- Central Orthotic & Prosthetic Co Inc
- Michael Alfred Chaney, D.D.S.
- Children'S Aid Home Programs of Somerset County Inc
- Children'S Aid Home Programs of Somerset County Inc
- Children'S Aid Home Programs of Somerset County, Inc
- Susan Clark, LCSW
- Lynn Ann Clement, M.ED.
- Jennifer A Close
- Conemaugh Health Initiatives
- Conemaugh Health Initiatives
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.