Laurie Beth Clark, CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2019042366 Issued in MO

Practice address

17009 E Cheyenne Dr
Independence, MO 64056

Phone

(816) 337-2192

NPI assigned

Nov 5, 2019

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dunn Physician Services LLCGroup PAC ID 0345787578, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Research Medical Center Hospital, Kansas City, MO, CCN 260027
• St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dunn Physician Services, LLC

  • Hospitalist Physician
  • Kansas City, MO
  • NPI 1437990082

  MO

  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of Mo, LLC

  • Hospitalist Physician
  • Independence, MO
  • NPI 1841997905

  MO

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Midwest Division - RMC, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842

  Hospital

  Care Compare affiliation
• Prime Healthcare Services Blue Springs, LLC

  • General Acute Care Hospital
  • Blue Springs, MO
  • NPI 1912303579

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1407490246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17009 E CHEYENNE DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640561516",
            "telephone_number": "816-337-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17009 E CHEYENNE DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64056",
            "telephone_number": "816-337-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LAURIE",
        "middle_name": "BETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2019042366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CJP Surgical LLC
• Marcia Clapp
• Barbara J Clark, CRNA
• Breanna Faith Clark, MSN, FPMHNP
• Kyle A Clark, MS, LPC
• Madison Rae Clark
• Amelia Gail Clausen, LCSW
• De'Nesha Clay
• Mason Clegg
• Donald J Clement, MD

• All providers in Independence, MO
• Acute Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.