Yolanda Clark

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

164054 Issued in OH

Practice address

12201 Euclid Ave
Cleveland, OH 44106-4310

Phone

(216) 509-9607

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Yolanda Howard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1407585532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 DANIEL DR",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441462919",
            "telephone_number": "216-801-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064310",
            "telephone_number": "216-509-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "YOLANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "164054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "HOWARD",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tiffany M Clark, CNP
• Tina Marie Clark, CNP
• Vanessa Clark
• Wayne Clark
• William P Clark
• Carson Clarke
• John T Clarke, NP
• Mary K Clarkin, CNP
• Rachel Clary, AU.D.
• Hannah Clasen

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.