Dysautonomia Management Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DYSAUTONOMIA MANAGEMENT CENTER

Practice address

200 Bailey Dr Ste 201B
Stewartstown, PA 17363-8399

Phone

(443) 692-7991

NPI assigned

Mar 25, 2026

Last updated

Jun 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Clark, CRNPNPI 1427560945

Title

Owner

Phone

(330) 319-1536

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Ann Clark, CRNP

  • Family Nurse Practitioner
  • Stewartstown, PA
  • NPI 1427560945
  NPD Authorized official

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1407795677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 CAROL RD STE B",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024159",
            "telephone_number": "443-692-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BAILEY DR STE 201B",
            "city": "STEWARTSTOWN",
            "state": "PA",
            "postal_code": "173638399",
            "telephone_number": "443-692-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSAUTONOMIA MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-319-1536",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Stewartstown, PA
• Providers in Stewartstown, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.