Nancy Lee Clark, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

17-01420 Issued in KS

Practice address

849 E Washington St
Howard, KS 67349-9418

Phone

(620) 374-2495

NPI assigned

May 20, 2011

Sex

Female

Sole proprietor

No

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, last updated by the provider on May 20, 2011.

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1487947636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 PARK RD",
            "city": "ROSE HILL",
            "state": "KS",
            "postal_code": "671339438",
            "telephone_number": "316-640-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E WASHINGTON ST",
            "city": "HOWARD",
            "state": "KS",
            "postal_code": "673499418",
            "telephone_number": "620-374-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NANCY",
        "middle_name": "LEE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "17-01420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Howard
• Elk County Office of County Clerk
• Elk County Office of County Clerk
• Four County Mental Health Center, Inc.
• Greenwood County Hospital
• Ricki Christine Hanna, COTA

• All providers in Howard, KS
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.