Clara Amy Van Eck, PA

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

933 Broad St
Portsmouth, VA 23707-1288

Phone

(757) 439-0897

NPI assigned

Dec 6, 2023

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

Physician Assistant

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1467229856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2103",
            "address_2": "933 BROAD STREET",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237079998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 BROAD ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237071288",
            "telephone_number": "757-439-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ECK",
        "first_name": "CLARA",
        "middle_name": "AMY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy John Utley, TECHNICIAN
• Timothy Andrew Utz, MD
• V & C Home Health Care
• Emily Anne Valaik, MD
• Blake Matthew Valerius, DMD
• Ginger Marie Vance, PHARM.D
• Stefani Ann Vande Lune, M.D.
• Morgan Alexandra Vanderhorst-Albaugh, M.D.
• Julia Davis Vandrak, PA-C
• Amaresh Vanga, M.D.

• Student in an Organized Health Care Education/Training Program in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Student in an Organized Health Care Education/Training Program in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.