Amanda K Clark, RRT

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

4933 Issued in SC

Practice address

1225 Laurel St Ste 219
Columbia, SC 29201-5826

Phone

(803) 545-0273

Fax

(877) 400-8388

NPI assigned

Mar 20, 2018

Last updated

Mar 20, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1467956003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 LAUREL ST STE 219",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292015826",
            "telephone_number": "803-545-0273",
            "fax_number": "877-400-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 LAUREL ST STE 219",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292015826",
            "telephone_number": "803-545-0273",
            "fax_number": "877-400-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "SC",
            "license": "4933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Clagg
• Jesse Clanton, M.D.
• Anthony Claremont
• Annette Renae Clark-Brown, M.D.
• Alexis Kristine Clark, MD
• Amanda S Clark, FNP
• Antoinette Clark
• Daryl Clark
• Dawn M. Clark, CRNA
• Deborah A Clark, LPC

• Certified Respiratory Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Certified Respiratory Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.