Active NPI
Lynnette Clark, AU.D.
- Audiologist
- Fort Bragg, NC
National Provider Identifier
1417996539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5200
- Practice address
- Womack Army Medical Center
Building 4-2817 Reilly Road
Fort Bragg, NC 28310-0001 - Phone
- (910) 907-6982
- Fax
- (920) 907-8485
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5200 | NC | Primary |
Addresses
Primary practice location
Womack Army Medical Center
Building 4-2817 Reilly Road
Fort Bragg, NC 28310-0001
Mailing address
5572 Linkwood Dr
Fayetteville, NC 28311-0288
Phone (910) 907-6982
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 |
|---|---|---|---|
| 5200 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417996539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5572 LINKWOOD DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283110288",
"telephone_number": "910-907-6982",
"fax_number": "910-907-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WOMACK ARMY MEDICAL CENTER",
"address_2": "BUILDING 4-2817 REILLY ROAD",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-6982",
"fax_number": "920-907-8485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "LYNNETTE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "5200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.