Lisa Renee Clark, AAS,QMHS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1199 S 2ND St
Coshocton, OH 43812-1920

Phone

(740) 622-4470

Fax

(740) 622-5580

NPI assigned

Jul 30, 2018

Last updated

Jul 30, 2018By the provider in NPPES

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

Credentials

Associate of Applied Science

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1407334725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011720",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121920",
            "telephone_number": "740-622-4470",
            "fax_number": "740-622-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Bell St",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437011720",
            "country_code": "US",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "AAS,QMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Coshocton (Coshocton City Home Health Agency)
• City of Coshocton (Coshocton City Health Department)
• Virgil Clapper
• Rebecca Lynn Clark-Rodocker
• Danielle Nicole Clark, D.O.
• Jordan Erica Cline, PHARMD
• Rachel E Coblentz, LSW
• College Park Inc (College Park Home Care Plus)
• Ashley Nichole Conidi, SPEECH-LANGUAGE PATH
• Nancy Jane Conkle

• Case Manager/Care Coordinator in Coshocton, OH
• Providers in Coshocton, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.